Možnosti využitia skríningových nástrojov na včasnú detekciu distresu u onkologických pacientov

Initial report on two trial projects using the brief symptoms inventory (BSI)- 18 as a screening instrument to detect distress earlier in cancer patients.

Dr. Morry Edwards, Ph.D. Director of Mind-Body Connections Program, Center for Cancer Care, Goshen IN and Director of Psychological Services, Kalamazoo Hematology and Oncology, Kalamazoo, MI

The Brief Symptoms Inventory (BSI)- 18 is an inexpensive and effective screening instrument to detect cancer patients who could be at risk for significant psychosocial distress. When used early after cancer diagnosis, the BSI- 18 may enable clinicians to offer interventions that may prevent complications arising from psychosocial distress and be more easily accepted by the patient. One set of norms for the BSI- 18 has been developed using a sample of oncology patients. Four factors were isolated: Somatization (SOM), Depression (DEP), Anxiety (ANX), and Global Severity (GSI). Appropriate cutoff scores have been differentiated by gender and criteria for a positive “case” has been set at a score of > 63 on the GSI or any two subscales where the T- score is > 63. Two pilot projects have been initiated to explore the utility of the BSI- 18 for detecting at risk patients and offering timely referrals to social work, psychology, psychiatry, pastoral care, or psychotrophic medication through the oncologist. One setting is a community cancer clinic at a hospital, which receives 40-50 new treatment patients a month. The other is a solo practitioner with a high ongoing referral base. It is hoped that the use of this screening instrument will be incorporated as a standard part of the intake process and may also have utility as an outcome measure. This poster presentation will address the benefits and problems with implementation.

Ochrana osobných údajov

Reklamačné podmienky

Obchodné podmienky