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Screening for Anxiety and Depression in Women With Breast Cancer

Psychiatry and Medical Oncology Gear Up for Managed Care

Received November 12, 1997; revised March 31, 1998; accepted April 9, 1998. At the time of this study, Dr. Payne was the Barbara White Fishman Psychology Fellow, Department of Psychiatry and Behavioral Sciences. Currently, he is a Clinical Instructor, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York. At the time of this study, Dr. Hoffman was a resident in psychiatry at New York Hospital, Cornell University Medical College-Westchester Division, White Plains, New York. She is now a Fellow, Department of Psychiatry, Long Island Jewish Medical Center, New Hyde Park, New York. Dr. Theodoulou is Assistant Attending Physician, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York. Dr. Dosik is at North Shore Hematology and Oncology Associates, East Setauket, New York. Dr. Massie is Attending Psychiatrist and Director, Barbara White Fishman Center for Psychological Counseling; and in the Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York. Address correspondence and reprint requests to Dr. Payne, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021.

In this study, 275 women with breast cancer attending ambulatory breast cancer clinics in two sites were evaluated for psychological distress by using three self-report instruments: a visual analogue scale for psychological distress, the Hospital Anxiety and Depression Scale, and the Brief Symptom Inventory. Results suggest that significant psychological distress exists in ambulatory women with breast cancer; all three instruments effectively measured that level of distress. Implications for the use of these instruments in educating oncological staff members, documenting need for psychiatric services in a period of capitation, and providing quality assurance evaluations of psychiatric services are discussed.

Key Words: Anxiety • Depression • Cancer

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