Keywords

cancer; oncology; depression; anxiety; DSM-IV; ROC analysis

Abstract

Objective: To evaluate the Patient Care Monitor (PCM1.0) Acute Distress and DespairnormalizedTscores as indicators of a diagnosis of Major Depression according to theStructured Clinical Interview for DSM-IV Axis I Disorders (SCID).Methods: Subjects were 21 adult cancer patients identified by treating communityoncologists as having significant emotional distress matched on age, cancer type, treatmenthistory, and sex to 21 patients not having significant distress. All completed e/tablet PCM 1.0and SCID administered by trained interviewers. Unweighted kappa and receiver operatingcharacteristics (ROC) analyses were used to assess scale properties.Results: Agreement between SCID Major Depression and Acute Distress and Despair(TX65) were kappa50.751 and 0.755, respectively. ROC area under the curve values forthese two scales were 0.967 (SE70.03) and 0.942 (SE70.03), respectively, with optimal cutpoints ofT561 and 63, respectively.Conclusions: Under conditions of preselected extreme groups, PCM 1.0 Acute Distressand DespairTscores are reasonable screening indicators of clinical depression in cancerpatients. PCM 1.0 provides an efficient method for point-of-care screening of depression incommunity oncology clinics.Copyrightr2009 John Wiley & Sons, Ltd.

Document Type

Peer-Reviewed Article

Publication Date

2010

Language

English

College

Family, Home, and Social Sciences

Department

Psychology

Included in

Psychology Commons

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