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논문 기본 정보

자료유형
학술저널
저자정보
Oh, Seung-Taek (Department of Psychiatry, National Health Insurance Service Ilsan Hospital) Lee, San (Department of Psychiatry, National Health Insurance Service Ilsan Hospital) Lee, Hyeok (Department of Psychiatry, National Health Insurance Service Ilsan Hospital) Chang, Myung Hee (Division of Oncology-Hematology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) Hong, Soojung (Division of Oncology-Hematology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) Choi, Won-Jung (Department of Psychiatry, National Health Insurance Service Ilsan Hospital)
저널정보
한국정신신체의학회 정신신체의학 정신신체의학 제25권 제1호
발행연도
2017.1
수록면
56 - 62 (7page)

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Objectives : The objective of this study was to investigate the relationship between psychological distress and pain in cancer patients. Methods : 249 patients with cancer who visited National Health Insurance Service Ilsan Hospital between April 2013 and March 2014 were evaluated with National Cancer Center Psychological Symptom Inventory(NCC-PSI) which consisted of Modified Distress Thermometer(MDT) and Modified Impact Thermometer(MIT). Each scale was divided into 3 subscales targeting separate symptoms: insomnia, anxiety, and depression. Psychological distress was defined as positive for those who scored above the cutoff values in at least one of all six subscales. The Numeric Rating Scale for Pain(NRS-Pain) was used to assess the subjective severity of pain. Logistic regression was performed to investigate the association between psychological distress and pain. Results : Univariate logistic regression analysis showed that pain, gender, compliance, and two subscale scores of Hospital Anxiety and Depression Scale(HADS) were significantly associated with psychological distress. Multivariate logistic regression analysis showed that pain and HADS anxiety subscale score maintained a statistically significant association with psychological distress adjusted for variables including age, gender, years of education, Eastern Cooperative Oncology Group performance status, cancer stage, Charlson Comorbidity Index, compliance, and HADS depression subscale score. One point increase in pain was 1.31 times more likely to cause psychological distress. In secondary analysis, pain was significantly associated with all subscales of NCC-PSI, except MIT-anxiety subscale. Conclusions : This study suggests that NCC-PSI, a screening tool for psychological distress, reflects pain. We recommend that physicians who treat cancer patients consider the examination of psychological distress which provides comprehensive evaluation of various factors regarding quality of life.
#Psychological distress #Pain #Distress thermometer #Impact thermometer #Cancer

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참고문헌 (40)

참고문헌 신청
Holland J / 1999 / NCCN practice guidelines for the management of psychosocial distress / Oncology 13:113~147 google schola Colleoni M / 2000 / Depression and degree of acceptance of adjuvant cytotoxic drugs / Lancet 356:1326~1327 google schola Skarstein J / 2000 / Anxiety and depression in cancer patients: relation between the Hospital Anxiety and Depression Scale and the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire / J Psychosom Res 49:27~34 google schola Prieto JM / 2005 / Role of depression as a predictor of mortality among cancer patients after stem-cell transplantation / J Clin Oncol 23:6063~6071 google schola Roth AJ / 1998 / Rapid screening for psychologic distress in men with prostate carcinoma / Cancer 82:1904~1908 google schola

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