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Clinical experience of the modified nurse-assisted screening and psychiatric referral program

Published online by Cambridge University Press:  19 February 2008

Ken Shimizu ,
Nobuya Akizuki ,
Tatsuo Akechi ,
Masako Okamura ,
Akira Oba ,
Masaya Shimamoto ,
Masatoshi Inagaki  and
Yosuke Uchitomi
Ken Shimizu
Affiliation:
Psychiatry Division, National Cancer Center Hospital, Chuou-ku, Tokyo, Japan Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
Nobuya Akizuki
Affiliation:
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan Psycho-Oncology Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
Tatsuo Akechi
Affiliation:
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, Japan
Masako Okamura
Affiliation:
Psycho-Oncology Division, Cancer Institute Hospital, Koto-ku, Tokyo, Japan
Akira Oba
Affiliation:
Psycho-Oncology Division, Shizuoka Cancer Center Hospital, Nagaizumi, Shizuoka, Japan
Masaya Shimamoto
Affiliation:
Psychiatry Division, National Cancer Center Hospital, Chuou-ku, Tokyo, Japan
Masatoshi Inagaki
Affiliation:
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan Psycho-Oncology Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
Yosuke Uchitomi*
Affiliation:
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan Psycho-Oncology Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
*
Address correspondence and reprint requests to: Yosuke Uchitomi, Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577Japan. E-mail: [email protected]
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Abstract

Objective:

We previously reported that the nurse-assisted screening and psychiatric referral program (NASPRP) facilitated the psychiatric treatment of depressive patients, but the high refusal rate was a problem even though referral was recommended by the nurse to all positively screened patients. We modified the program so that the nurses could judge the final eligibility of referral using the result of the screening. This study assessed if the modified NASPRP led to more psychiatric referral of depressive patients.

Method:

We retrospectively evaluated the annual change of the psychiatric referral proportion and compared the findings among the usual care term, the NASPRP term, and the modified NASPRP terms.

Results:

The referral proportions of the modified NASPRP terms were 4.4% and 3.9%. These were not significantly higher than the usual care term (2.5%), and significantly lower than the NASPRP term (11.5%).

Significant of results:

The modified NASPRP did not facilitate psychiatric treatment of depressive patients and another approach is needed.

Keywords

Depressive disorderMass screeningNeoplasmsPsychiatryTherapeutics
Type
Original Articles
Information
Palliative & Supportive Care , Volume 6 , Issue 1 , March 2008 , pp. 29 - 32
Copyright
Copyright © Cambridge University Press 2008

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References

REFERENCES

Akechi, T., Okamura, H., Nishiwaki, Y., et al. (2001). Psychiatric disorders and associated and predictive factors in patients with unresectable nonsmall cell lung carcinoma: A longitudinal study. Cancer, 92, 2609–2622.3.0.CO;2-K>CrossRefGoogle ScholarPubMed
Akechi, T., Okuyama, T., Sugawara, Y., et al. (2004). Major depression, adjustment disorders, and post-traumatic stress disorder in terminally ill cancer patients: Associated and predictive factors. Journal of Clinical Oncology, 22, 1957–1965.CrossRefGoogle ScholarPubMed
Akizuki, N., Yamawaki, S., Akechi, T., et al. (2005). Development of an Impact Thermometer for use in combination with the Distress Thermometer as a brief screening tool for adjustment disorders and/or major depression in cancer patients. Journal of Pain and Symptom Management, 29, 91–99.CrossRefGoogle ScholarPubMed
Arroll, B., Goodyear-Smith, F., Kerse, N., et al. (2005). Effect of the addition of a “help” question to two screening questions on specificity for diagnosis of depression in general practice: Diagnostic validity study. British Medical Journal, 331, 884.CrossRefGoogle ScholarPubMed
Curry, C., Cossich, T., Matthews, J.P., et al. (2002). Uptake of psychosocial referrals in an outpatient cancer setting: Improving service accessibility via the referral process. Supportive Care in Cancer, 10, 549–555.CrossRefGoogle Scholar
Derogatis, L.R., Morrow, G.R., Fetting, J., et al. (1983). The prevalence of psychiatric disorders among cancer patients. JAMA, 249, 751–757.CrossRefGoogle ScholarPubMed
Fallowfield, L., Ratcliffe, D., Jenkins, V., et al. (2001). Psychiatric morbidity and its recognition by doctors in patients with cancer. British Journal of Cancer, 84, 1011–1015.CrossRefGoogle ScholarPubMed
Gill, D. & Hatcher, S. (1999). Systematic review of the treatment of depression with antidepressant drugs in patients who also have a physical illness. Journal of Psychosomat Research, 47, 131–143.CrossRefGoogle ScholarPubMed
Goldman, L.S., Nielsen, N.H., & Champion, H.C. (1999). Awareness, diagnosis, and treatment of depression. Journal of General Internal Medicine, 14, 569–580.CrossRefGoogle ScholarPubMed
Kugaya, A., Akechi, T., Okuyama, T., et al. (2000). Prevalence, predictive factors, and screening for psychologic distress in patients with newly diagnosed head and neck cancer. Cancer, 88, 2817–2823.3.0.CO;2-N>CrossRefGoogle ScholarPubMed
McDonald, M.V., Passik, S.D., Dugan, W., et al. (1999). Nurses' recognition of depression in their patients with cancer. Oncology Nursing Forum, 26, 593–599.Google ScholarPubMed
McLachlan, S.A., Allenby, A., Matthews, J., et al. (2001). Randomized trial of coordinated psychosocial interventions based on patient self-assessments versus standard care to improve the psychosocial functioning of patients with cancer. Journal of Clinical Oncology, 19, 4117–4125.CrossRefGoogle ScholarPubMed
Minagawa, H., Uchitomi, Y., Yamawaki, S., et al. (1996). Psychiatric morbidity in terminally ill cancer patients. A prospective study. Cancer, 78, 1131–1137.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Okamura, H., Watanabe, T., Narabayashi, M., et al. (2000). Psychological distress following first recurrence of disease in patients with breast cancer: Prevalence and risk factors. Breast Cancer Research and Treatment, 61, 131–137.CrossRefGoogle ScholarPubMed
Passik, S.D., Dugan, W., McDonald, M.V., et al. (1998). Oncologists' recognition of depression in their patients with cancer. Journal of Clinical Oncology, 16, 1594–1600.CrossRefGoogle ScholarPubMed
Roth, A.J., Kornblith, A.B., Batel-Copel, L., Pe et, al. (1998). Rapid screening for psychologic distress in men with prostate carcinoma: A pilot study. Cancer, 82, 1904–1908.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
Shimizum, K., Akechim, T., Okamuram, M., et al. (2005). Usefulness of the nurse-assisted screening and psychiatric referral program. Cancer, 103, 1949–1956.CrossRefGoogle Scholar
Uchitomim, Y., Mikamim, I., Nagaim, K., et al. (2003). Depression and psychological distress in patients during the year after curative resection of non-small-cell lung cancer. Journal of Clinical Oncology, 21, 69–77.CrossRefGoogle Scholar