Quality of life and distress assessed with self and external assessment screening tools in patients with hematologic malignancies attending treatment in an acute hospital

  • Purpose: In this study, we examined distress levels and quality of life (QoL) of patients with hematologic malignancies under treatment in an acute setting. We used external- and self-assessment instruments for distress. Additionally, we investigated the relation between distress and QoL as well as whether highly distressed patients differed from less distressed patients concerning their QoL. Methods: A cross-sectional study with patients of the Medical Clinic II of the University Hospital Frankfurt was conducted. One hundred and nine patients were assessed with an expert rating scale and completed self-report questionnaires. Data were exploratively analyzed and group comparisons between patients who scored above the cut-off of the respective screening instruments and those who did not were conducted. Results: Patients with hematologic malignancies experience high levels of distress and low QoL. Especially, role and social functioning are affected. Patients suffer most from fatigue, appetite loss, and insomnia. Using established cut-offs, all screening instruments were able to differentiate between patients regarding distress and QoL. Patients scoring above the cut-off were significantly more distressed and had a lower QoL. There was a medium-to-strong correlation between distress and QoL indicators. Conclusion: Cancer-specific screening instruments seem to be able to identify treatment needs more specifically. They also allowed a better differentiation concerning QoL. The close link between distress and QoL needs to be recognized to enable a holistic approach to treatment and thereby optimize the quality of treatment.

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Author:Bianca SenfORCiDGND, Kirsten Grabowski, Natascha Spielmann, Jens FettelORCiD
Parent Title (English):Quality of life research
Publisher:Springer Science + Business Media B.V
Place of publication:Dordrecht [u.a.]
Document Type:Article
Date of Publication (online):2020/08/19
Date of first Publication:2020/08/19
Publishing Institution:Universit├Ątsbibliothek Johann Christian Senckenberg
Release Date:2022/10/23
Tag:Acute hospital; Distress screening; External-/self-assessment; Hematologic malignancies; Psycho-oncology; Quality of life
Page Number:11
First Page:3375
Last Page:3385
Open Access funding provided by Projekt DEAL. H.W. & J. Hector Stiftung, Grant/Award Number: Medizinprojekt M64.
Institutes:Medizin / Medizin
Dewey Decimal Classification:1 Philosophie und Psychologie / 10 Philosophie / 100 Philosophie und Psychologie
1 Philosophie und Psychologie / 15 Psychologie / 150 Psychologie
6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):License LogoCreative Commons - Namensnennung 4.0