Academic Journal
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
| العنوان: | 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 |
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| المؤلفون: | 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 |
| المساهمون: | Elsevier |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2019 |
| المجموعة: | Universidad Complutense de Madrid (UCM): E-Prints Complutense |
| مصطلحات موضوعية: | Emotional distress, Screening, Thoracic surgery, Psychological needs, Psicología (Psicología), 61 Psicología |
| الوصف: | 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. ; Introducción: El objetivo del presente estudio es examinar la precisión diagnóstica de los test de cribado utilizados para detectar la necesidad de atención psicológica en pacientes remitidos para cirugía torácica. Métodos: Se evaluó la presencia de malestar emocional en un total de 105 pacientes remitidos para cirugía tora´ cica por medio de la entrevista clínica psicológica (variable criterio). Los métodos de cribado utilizados fueron: el juicio del médico (sí/no), la Escala Hospitalaria de Ansiedad y ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0009-739X |
| Relation: | https://hdl.handle.net/20.500.14352/103696; Cruzado JA, Martínez García V, Salas Gutiérrez V, Jarabo Sarceda JR, Fraile Olivero CA, Fernández Martín E, et al. Implementación de un programa de cribado del malestar emocional en un servicio de cirugía torácica. Cir Esp. 2019;97:275–281.; https://doi.org/10.1016/j.ciresp.2019.01.002 |
| DOI: | 10.1016/j.ciresp.2019.01.002 |
| الاتاحة: | https://hdl.handle.net/20.500.14352/103696 https://doi.org/10.1016/j.ciresp.2019.01.002 |
| Rights: | Attribution-NonCommercial-NoDerivatives 4.0 International ; http://creativecommons.org/licenses/by-nc-nd/4.0/ ; open access |
| رقم الانضمام: | edsbas.5E42C576 |
| قاعدة البيانات: | BASE |
| تدمد: | 0009739X |
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| DOI: | 10.1016/j.ciresp.2019.01.002 |