Evidence map›Paper›PMID 31679172›Full record

ArticlePsycho-oncology2019

Screening for post-traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress.

Matthias Unseld, Katharina Krammer, Simone Lubowitzki, Mathias Jachs, Lukas Baumann, Benjamin Vyssoki, Jasmin Riedel, Hanna Puhr, Stefan Zehentgruber, Gerald Prager and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Psycho-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Matthias UnseldDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-1699-9846
Katharina KrammerDepartment of Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Simone LubowitzkiDepartment of Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Mathias JachsDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
Lukas BaumannSection for Medical Statistics, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Benjamin VyssokiDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.
Jasmin RiedelDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
Hanna PuhrDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.
Stefan ZehentgruberDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
Gerald PragerDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.
Eva Katharina MaselDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
Matthias PreusserDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.
Ulrich JaegerDepartment of Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Alexander GaigerDepartment of Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATStatistics Austria · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePost-traumatic stress disorder (PTSD) is a severe psychiatric disorder, which might develop after a traumatic event, like cancer diagnosis, and threatens the patient's psychological and/or physiological integrity. Anxiety, depression, and mental distress are known to be common in cancer patients; however, the frequency of PTSD was not investigated thoroughly in this patient group so far. Here, we aim to screen cancer patients for PTSD symptoms and determine a possible correlation with anxiety, depression, and distress.

methodsThe study was performed at the Divisions of Hematology and Oncology of the Medical University of Vienna from 2010 to 2018. Following written consent, patients were asked to fill out the validated self-assessment questionnaire for PTSS-10 and HADS. The study was approved by the institutional ethics committee of the Medical University of Vienna (EC Nr: 2255/2016).

resultsA total of 1017 adult cancer patients (513 male, 504 female) were included in a cross-sectional single-center study. Mean age was 57.6 years (SD 14.4 years); 31.7%, 14.6%, 13.2%, and 27.4% of patients outscored the predefined thresholds for self-assessed cases of PTSD, anxiety, depression, and distress, respectively. Compared with men, women showed a higher prevalence of symptoms for PTSD (38.9% vs 24.5%; P < .001) and anxiety (20.4% vs 8.6%; P < .001). The scores of HADS-A, HADS-D, and the combined HADS score (distress) were significantly correlated with PTSS-10 scores (P < .01). No differences in age were observed among the different score groups.

conclusionThe study shows a significant prevalence as well as a correlation of PTSD symptoms with anxiety, depression, and distress among cancer patients. Findings underscore the necessity of a serious screening for psychiatric disorders, especially in female patients. In order to enable multidisciplinary care for cancer patients and to reduce the burden for psychiatric disorders, interdisciplinary screening and treatment concepts, which take into account gender aspects, are urged.

Indexed as

AdultAgedAnxietyAustriaComorbidityDepressionFemaleHumansMaleMiddle AgedNeoplasmsPrevalenceStress Disorders, Post-Traumaticanxietycancerclinical oncologydepressiondistresspost-traumatic stress disorders

Identifiers

PMID31679172
PMCPMC6916606
OpenAlexW2987955914

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.