{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T08:54:43Z","timestamp":1762505683953},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2010,9,28]],"date-time":"2010-09-28T00:00:00Z","timestamp":1285632000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1478951510000337_sec1\"><jats:title>Objective:<\/jats:title><jats:p>The purpose of this study was to assess the psychological care needs of cancer patients throughout the healthcare process: after diagnosis, after medical treatment (surgery, chemotherapy, radiotherapy) and during follow-up.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951510000337_sec2\"><jats:title>Method:<\/jats:title><jats:p>A total of 703 ambulatory cancer patients were assessed in this study. The inclusion period was from April 1, 2005 to April 30, 2007. The first psychological scales used were the 14-item Hospital Anxiety and Depression Scales (HADS), which has two sub-scales for anxiety (7 items) and for depression (7 items). All patients with a score \u226514 were assessed through the Structured Clinical Interview for Psychiatric Disorder (SCID-I) of the DSM-IV. All data were compared with sociodemographic and medical characteristics.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951510000337_sec3\"><jats:title>Results:<\/jats:title><jats:p>Of the 703 cancer patients in the study, 349 were men and 354 women, with a mean age of 53 years. The median time between the cancer diagnosis and our clinical interview was 6 months (range, 12 days to 190 months). Overall, the screening tools indicated that one in four patients needed psychological care. The most common psychiatric diagnosis was adjustment disorder (129 cases), whereas 10 patients were diagnosed with major depression. Using a HADS cut-off score of &gt;7 for anxiety and depression, 28% and 17% of patients, respectively, were classified as \u201cpossible clinical cases.\u201d Risk factors for distress included age &lt;65 years, asthenia, constipation, and a low performance status. However, chemotherapy treatment was found to be a protector against distress in cancer patients.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951510000337_sec4\"><jats:title>Significance of Results:<\/jats:title><jats:p>Chemotherapy treatment is interpreted by the patients as a protector against cancer, thereby reducing distress levels.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1478951510000337","type":"journal-article","created":{"date-parts":[[2010,9,28]],"date-time":"2010-09-28T11:30:47Z","timestamp":1285673447000},"page":"455-460","source":"Crossref","is-referenced-by-count":11,"title":["Does chemotherapy reduce stress?"],"prefix":"10.1017","volume":"8","author":[{"given":"Francisco","family":"Gil","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.J.","family":"P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2010,9,28]]},"reference":[{"key":"S1478951510000337_ref17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.300.6737.1458"},{"key":"S1478951510000337_ref16","unstructured":"SCID I y II. (1999). Gu\u00eda de Entrevista Cl\u00ednica Estructurada para los Trastornos del eje I y II del DSM-IV [Structured Clinical Interview for the Psychiatric Disorders Axis I and II of the DSM-IV]. Editorial Masson."},{"key":"S1478951510000337_ref12","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6604750"},{"key":"S1478951510000337_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-006-9178-z"},{"key":"S1478951510000337_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(05)80015-2"},{"key":"S1478951510000337_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90336-0"},{"key":"S1478951510000337_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2004.07.004"},{"key":"S1478951510000337_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.10.023"},{"key":"S1478951510000337_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyf106"},{"key":"S1478951510000337_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7753(01)72040-4"},{"key":"S1478951510000337_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.00081"},{"key":"S1478951510000337_ref18","first-page":"233","article-title":"Uso cl\u00ednico del HAD (Hospital Anxiety and Depression Scale) en poblaci\u00f3n psiqui\u00e1trica: un estudio de su sensibilidad, fiabilidad y validez (Clinical use of HAD (Hospital Anxiety and Depresi\u00f3n Scale) in psychiatric population: an study of sensitivity, reliability and validation)","volume":"13","author":"Tejero","year":"1986","journal-title":"Revista del Departamento de Psiquiatr\u00eda de la Facultad de Medicine de Barcelona"},{"key":"S1478951510000337_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/0959-8049(95)00490-A"},{"key":"S1478951510000337_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21532"},{"key":"S1478951510000337_ref5","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1157\/13115354","article-title":"Adaptaci\u00f3n psicol\u00f3gica y prevalencia de trastornos mentales en pacientes con c\u00e1ncer (Psychological adaptation and prevalence of mental disorders in cancer patients)","volume":"130","author":"Gil","year":"2008","journal-title":"Medicina Cl\u00ednica"},{"key":"S1478951510000337_ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1983.03330300035030"},{"key":"S1478951510000337_ref11","first-page":"191","volume-title":"Evaluation of Chemotherapeutic Agents","author":"Karnofsky","year":"1949"},{"key":"S1478951510000337_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-004-0725-z"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951510000337","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T20:42:26Z","timestamp":1556397746000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951510000337\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,9,28]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2010,12]]}},"alternative-id":["S1478951510000337"],"URL":"https:\/\/doi.org\/10.1017\/s1478951510000337","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,9,28]]}}}