論文

査読有り 国際誌
2021年5月11日

Prevalence of Psychological Distress and Its Risk Factors in Patients with Primary Bone and Soft Tissue Tumors.

Healthcare (Basel, Switzerland)
  • Masato Ise
  • Eiji Nakata
  • Yoshimi Katayama
  • Masanori Hamada
  • Toshiyuki Kunisada
  • Tomohiro Fujiwara
  • Ryuichi Nakahara
  • Shouta Takihira
  • Kohei Sato
  • Yoshiteru Akezaki
  • Masuo Senda
  • Toshifumi Ozaki
  • 全て表示

9
5
開始ページ
566
終了ページ
566
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3390/healthcare9050566

Psychological distress is common in patients with soft tissue and bone tumors. We first investigated its frequency and the associated risk factors in patients with pre-operative bone and soft tissue tumors. Participants included 298 patients with bone and soft tissue tumors who underwent surgery in our institution between 2015 and 2020. Psychological distress was evaluated by the Distress and Impact Thermometer (DIT) that consists of two types of questions (questions about the severity of the patient's distress (DIT-D) and its impact (DIT-I)). We used a cut-off point of 4 on the DIT-D and 3 on the DIT-I for screening patients with psychological distress. We therefore investigated: (1) the prevalence of psychological distress as assessed with DIT or distress thermometer (DT), which can be decided by DIT-D ≥ 4, (2) what are the risk factors for the prevalence of psychological distress, and (3) what is the number of patients who consulted a psychiatrist for psychological distress in patients with pre-operative bone and soft tissue tumors. With DIT and DT, we identified 64 patients (21%) and 95 patients (32%), respectively, with psychological distress. Multivariate logistic regression revealed that older age, sex (female), malignancy (malignant or intermediate tumor), a lower Barthel Index, and higher numeric rating scale were risk factors for psychological distress. Two patients (3%) consulted a psychiatrist after surgery. In conclusion, careful attention to psychological distress is needed, especially for female patients, older patients, and those with malignant soft or bone tissue tumors who have more than moderate pain.

リンク情報
DOI
https://doi.org/10.3390/healthcare9050566
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34065006
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151264
ID情報
  • DOI : 10.3390/healthcare9050566
  • PubMed ID : 34065006
  • PubMed Central 記事ID : PMC8151264

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