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Implementing a distress screening program in a thoracic surgery service.

Juan Antonio Cruzado1, Vanesa Martínez García1, Verónica Salas Gutiérrez1

  • 1Universidad Complutense de Madrid, Madrid, España.

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|April 24, 2019
PubMed
Summary
This summary is machine-generated.

The Hospital Anxiety and Depression Scale (HADS) accurately identifies patients needing psychological support before thoracic surgery. This screening tool is effective and easy to implement in clinical settings.

Keywords:
AnsiedadAnxietyCirugía torácicaCribado del malestar emocionalCáncer de pulmónDepresiónDepressionDistress screeningLung cancerThoracic surgery

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Area of Science:

  • Psychological Medicine
  • Thoracic Surgery
  • Diagnostic Accuracy

Background:

  • A significant percentage of patients undergoing thoracic surgery experience emotional distress.
  • Identifying patients who require psychological intervention is crucial for optimal surgical outcomes.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of various screening methods for detecting psychological distress in thoracic surgery patients.
  • To compare the effectiveness of the physician's opinion, HADS, ADEP, and ANXQ in identifying patients needing psychological intervention.

Main Methods:

  • 105 patients referred for thoracic surgery were assessed using a diagnostic psychological interview as the criterion standard.
  • Screening tools evaluated included physician's opinion, Hospital Anxiety and Depression Scale (HADS), single-item Depression Question (ADEP), and single-item Anxiety Question (ANXQ).

Main Results:

  • 34% of patients required psychological intervention based on the clinical interview.
  • The HADS total score demonstrated high diagnostic accuracy (AUC=0.883) with sensitivity=0.89 and specificity=0.75.
  • ADEP and ANXQ showed moderate accuracy, while physician's opinion had lower sensitivity.

Conclusions:

  • The Hospital Anxiety and Depression Scale (HADS) is the most accurate and practical tool for screening psychological distress in thoracic surgery patients.
  • HADS is brief, well-accepted, and easily integrated into thoracic surgery services, offering good diagnostic performance.