The use of the Hospital Anxiety and Depression Scale (HADS) and the EORTC QLQ-C30 questionnaires to screen for treatable unmet needs in patients attending routinely for radiotherapy

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  • A longitudinal study on anxiety, depressive and adjustment disorder, suicide ideation and symptoms of emotional distress in patients with cancer undergoing radiotherapy

    2016, Journal of Psychosomatic Research
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    There are few longitudinal studies available on psychopathological disorders in patients undergoing radiotherapy, most of them using small samples focused on very specific cancers, which impedes generalization [5,6]. In relation to the symptoms of anxiety, depression and distress evaluated through the Hospital Anxiety and Depression Scale (HADS) [9] or similar measurements, in cancer patients undergoing radiotherapy, the following prevalence has been reported: 13%–24% of possible cases of clinical anxiety, 5%–21% of possible cases of clinical depression, and 9.5%–37% of cases of emotional distress [10–19]. The symptoms increase from pre-radiotherapy to after radiotherapy, and decrease in the following months [5,6,16].

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    Although anxiety is not included on the MSAS, worrying may be considered a proxy for this symptom. Consistent with previous reports,50–54 the trajectories for all three dimensions of worrying decreased over time and were at their highest before the initiation of RT. In terms of the predictors of anxiety, consistent with a study that examined unmet needs for psychological support in women receiving RT for breast cancer,55 approximately 25% reported distress during RT and younger women reported higher levels of psychological distress.

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