Implementing a distress screening program in a thoracic surgery service

The aim of the present study was to examine the diagnostic accuracy of screening tests in detecting cases requiring psychological intervention among patients referred for thoracic surgery. Methods: Emotional distress was evaluated in 105 patients referred for thoracic surgery by means of a diagnosti...

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Detalles Bibliográficos
Autores: Cruzado Rodríguez, Juan Antonio, Martínez García, Vanesa, Salas Gutiérrez, Veronica, Jarabo Sarceda, José Ramón, Fraile Olivero, Carlos Alfredo, Fernández Martín, Elena, Calatayud Gastardi, Joaquín, Gómez Martínez, Ana María, Hernando Trancho, Florentino
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/103696
Acceso en línea:https://hdl.handle.net/20.500.14352/103696
Access Level:acceso abierto
Palabra clave:Emotional distress
Screening
Thoracic surgery
Psychological needs
Psicología (Psicología)
61 Psicología
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spelling Implementing a distress screening program in a thoracic surgery serviceImplementación de un programa de cribado del malestar emocional en un servicio de cirugía torácicaCruzado Rodríguez, Juan AntonioMartínez García, VanesaSalas Gutiérrez, VeronicaJarabo Sarceda, José RamónFraile Olivero, Carlos AlfredoFernández Martín, ElenaCalatayud Gastardi, JoaquínGómez Martínez, Ana MaríaHernando Trancho, FlorentinoEmotional distressScreeningThoracic surgeryPsychological needsPsicología (Psicología)61 PsicologíaThe aim of the present study was to examine the diagnostic accuracy of screening tests in detecting cases requiring psychological intervention among patients referred for thoracic surgery. Methods: Emotional distress was evaluated in 105 patients referred for thoracic surgery by means of a diagnostic psychological interview (criterion variable). The screening ability of the following methods was analyzed: the physician’s opinion (Yes/No), Hospital Anxiety and Depression Scale (HADS), single-item interview: ‘‘Are you depressed?’’ (Depression Question, ADEP) (1–5) and the single-item interview: ‘‘Are you anxious?’’ (Anxiety Question, ANXQ) (1–5). Results: According to the clinical interview, 34% of the patients were clinical cases requiring psychological intervention. The total HADS (cut-off point of 10) showed a sensitivity=0.89, specificity=0.75 and AUC=0.883; the ADEP scale (>1) showed a sensitivity=0.79, pecificity=0.74 and AUC=0.795; the ANXQ scale (>1) showed a sensitivity=0.78, specificity=0.41 and AUC=0.690; and the physician’s opinion showed a sensitivity=0.47 and specificity=0.86. Conclusions: A high percentage of patients referred for thoracic surgery required psychological intervention. The best instrument to identify those patients requiring psychological care, taking a psychological interview as the criterion variable, was the total HADS score. This test is brief, simple and well accepted by patients; it is easy to implement within a thoracic surgery service and has a good diagnostic accuracy.ElsevierElsevierUniversidad Complutense de Madrid20192019-03-0120192019-03-01journal articlehttp://purl.org/coar/resource_type/c_6501Phttp://purl.org/coar/version/c_fa2ee174bc00049finfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/103696reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1036962026-06-02T12:44:21Z
dc.title.none.fl_str_mv Implementing a distress screening program in a thoracic surgery service
Implementación de un programa de cribado del malestar emocional en un servicio de cirugía torácica
title Implementing a distress screening program in a thoracic surgery service
spellingShingle Implementing a distress screening program in a thoracic surgery service
Cruzado Rodríguez, Juan Antonio
Emotional distress
Screening
Thoracic surgery
Psychological needs
Psicología (Psicología)
61 Psicología
title_short Implementing a distress screening program in a thoracic surgery service
title_full Implementing a distress screening program in a thoracic surgery service
title_fullStr Implementing a distress screening program in a thoracic surgery service
title_full_unstemmed Implementing a distress screening program in a thoracic surgery service
title_sort Implementing a distress screening program in a thoracic surgery service
dc.creator.none.fl_str_mv Cruzado Rodríguez, Juan Antonio
Martínez García, Vanesa
Salas Gutiérrez, Veronica
Jarabo Sarceda, José Ramón
Fraile Olivero, Carlos Alfredo
Fernández Martín, Elena
Calatayud Gastardi, Joaquín
Gómez Martínez, Ana María
Hernando Trancho, Florentino
author Cruzado Rodríguez, Juan Antonio
author_facet Cruzado Rodríguez, Juan Antonio
Martínez García, Vanesa
Salas Gutiérrez, Veronica
Jarabo Sarceda, José Ramón
Fraile Olivero, Carlos Alfredo
Fernández Martín, Elena
Calatayud Gastardi, Joaquín
Gómez Martínez, Ana María
Hernando Trancho, Florentino
author_role author
author2 Martínez García, Vanesa
Salas Gutiérrez, Veronica
Jarabo Sarceda, José Ramón
Fraile Olivero, Carlos Alfredo
Fernández Martín, Elena
Calatayud Gastardi, Joaquín
Gómez Martínez, Ana María
Hernando Trancho, Florentino
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Elsevier
Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Emotional distress
Screening
Thoracic surgery
Psychological needs
Psicología (Psicología)
61 Psicología
topic Emotional distress
Screening
Thoracic surgery
Psychological needs
Psicología (Psicología)
61 Psicología
description The aim of the present study was to examine the diagnostic accuracy of screening tests in detecting cases requiring psychological intervention among patients referred for thoracic surgery. Methods: Emotional distress was evaluated in 105 patients referred for thoracic surgery by means of a diagnostic psychological interview (criterion variable). The screening ability of the following methods was analyzed: the physician’s opinion (Yes/No), Hospital Anxiety and Depression Scale (HADS), single-item interview: ‘‘Are you depressed?’’ (Depression Question, ADEP) (1–5) and the single-item interview: ‘‘Are you anxious?’’ (Anxiety Question, ANXQ) (1–5). Results: According to the clinical interview, 34% of the patients were clinical cases requiring psychological intervention. The total HADS (cut-off point of 10) showed a sensitivity=0.89, specificity=0.75 and AUC=0.883; the ADEP scale (>1) showed a sensitivity=0.79, pecificity=0.74 and AUC=0.795; the ANXQ scale (>1) showed a sensitivity=0.78, specificity=0.41 and AUC=0.690; and the physician’s opinion showed a sensitivity=0.47 and specificity=0.86. Conclusions: A high percentage of patients referred for thoracic surgery required psychological intervention. The best instrument to identify those patients requiring psychological care, taking a psychological interview as the criterion variable, was the total HADS score. This test is brief, simple and well accepted by patients; it is easy to implement within a thoracic surgery service and has a good diagnostic accuracy.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-03-01
2019
2019-03-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
P
http://purl.org/coar/version/c_fa2ee174bc00049f
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/103696
url https://hdl.handle.net/20.500.14352/103696
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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