Depression, anxiety and post-traumatic stress in patients with colorectal cancer: Validation of the Hospital Anxiety and Depression Scale (HADS) and Impact of Events Scale (IES) in a sample of cancer patients

Authors

Maria Graça Pereira Universidade do Minho, Braga
Ana Paula Figueiredo Instituto Português de Oncologia do Porto Francisco Gentil, EPE

DOI:

https://doi.org/10.31877/on.2008.05.02

Keywords:

Colorectal Cancer, HADS, IES, Depression, Anxiety, Post-Traumatic Stress

Abstract

The purpose of this study was the adaptation of the “Hospital Anxiety and Depression Scale” (Zigmond & Snaith, 1993) and the “Impact of Events Scale” (Weiss & Marmer, 1977) and simultaneously to assess the surgery, surgery/chemotherapy and surgery/radiotherapy in patients with colorectal cancer in terms of depression, anxiety and pos-traumatic stress. The sample includes 114 patients with colorectal diagnosis. Data was collected in Instituto Português de Oncologia. In terms of psychometric properties, the Portuguese versions of HADS and IES in our sample show a good internal consistency with a cronbach alpha of .94 and .90 respectively. In terms of validity, the adapted version of HADS keeps the original structure but the adapted version of IES has one item less. The results show an increase in depression, anxiety and post traumatic stress in patients with colorectal cancer that
were submitted to surgery/chemotherapy and surgery/radiotherapy when compared with those that were only submitted to surgery and those that have an ostomy.

Downloads

Download data is not yet available.

References

Anderson, E.(1993). The Hospital Anxiety and Depression Scale: Homogeneity of the Prevalence of Multiple Sclerosisin the United State. Annual Neurology, 31 333-336.

Andrykowski, A., & Cordova, J.(1998). Factors Associated with PTSD Symptoms Following Treatment for Breast Cancer: Test of the Andersen Model. Journal of Traumatic Stress. nº 11: 189-203.

Derogatis, L., Morrow, G., Fetting, J., Penman, D., Piasetsky, S,; Schmale, A., Henrichs, M., & Caneicke, C.(1983). The Prevalence of Psychiatric Disorders Among Cancer Patients. Journal of the American Medical Association, 249, 751-757.

Figueiredo, A. & Pereira, M.G.(2006). Cancro colorectal: Impacto psicológico do tratamento no doente e cônjuge. In Livro de actas VI Simpósio Nacional de Investigação em Psicologia. Évora. Universidade de Évora. Volume III. 87-103.

Figueiredo, A. & Pereira, M.G.(2007a). Impacte psicológico do tratamento do cancro no doente e cônjuge. In M.G. Pereira (Coord.) Psicologia da Saúde Familiar: Aspectos teóricos e investigação. Lisboa. Climepsi Editores.

Figueiredo, A. & Pereira, M.G.(2007b). Qualidade de vida, Representações da doença e Morbilidade psicológica no doente e cônjuge com cancro colorectal. In Livro de actasII Congresso, Família, Saúde e Doença: Modelos, Investigação e Prática. Braga.

Universidade do Minho.

Ganzl, R.(1996). Câncer Colorretal. In A. Murard & A. Katz. Oncologia. Bases Clínicas do Tratamento. Rio de Janeiro. Guanabara Koogan. 176-179.

Gouveia, J., António, M. & Veloso, V.(1993). Registo Oncológico Nacional. Porto. I.P.O.

Hacpille, L.(2000). A Dor Cancerosa e seu Tratamento. Abordagem em Cuidados Paliativos. Lisboa. Instituto Piaget.

Herrman, C.(1997). International Experiences With the Hospital Anxiety and Depression Scale-A. Review of Validation Data and Clinical Results. Journal of Psycosomatic Research., 42, 17-41

Hogan, R.(1999). Cancro. In Phipps; Long; Woods & Cassemeier. Enfermagem Médico-Cirúrgical. Conceitos e Prática Clínica. Loures. Lusociência. 333-413.

Lewis, G.(1991). Observer Biasin the Assessment of Anxiety and Depression. Social Psychiatry & Psichiatic Epidemioligy, 26, 265-272.

Martin, C. & Thompson, D.(2000). Apsychometric evalution of the Hospital Anxiety and Depression Scale in coronary care patientsfollowing myocardial infaction. Psychology, Health & Medicine. nº 5. 193-202.

McIntyre, T., Pereira, M.G., Soares, V., Gouveis, J., & Silva, S.(1999). Escala de Ansiedade e Depressão Hospitalar.Versão Portuguesa de Investigação. Universidade do Minho. Pepartamento de Psicologia.

Moorey, S., Greer, S., Watson, M., Gorman, C., Rowden, L., Tunmore, R., Robertson, B., & Bliss, J.(1991). The Factor Structure and Factor Stability of the Hospital Anxiety and Depression Scale in Patients With Cancer. British Journal Psychiatry, 158, 255-259.

Murard, A.(1996). Câncer Anal. In A. Murard. &A. Katz. Oncologia. Bases Clínicas do tratamento. Rio de Janeiro. Guanabara koogan. 180-181.

Nordin, N. & Glimelius, B.(1999). Predicting Delayed Anxiety and Depression in Patients with Gastrointestinal Cancer. Journal of Cancer: Cancer Research Campaingn. 525-529.

Ogden, J.(1999). Psicologia da saúde. Lisboa. Climepsi.

Otto, S.(2000). Enfermagem em Oncologia. Lusociência, Loures.

Pereira, M. & Figueiredo, A.(2005). Impact of Events Scale (IES). Versão de Investigação. Universidade do Minho.

Pereira, M. & Sousa, C.(2005). Hospital Ansiety & Depression Scale (HADS). Versão de Investigação. Universidade do Minho.

Roberts, S., Bonnici, D., Mackinnon, A., & Worcester, M.(2001). Psychometric Evoluation of the Hospital Anxiety and Depression Scale (HADS) among Lemole Cardiac Patient. British Journal of Health Psychology, 6, 373-380.

Hospital Anxiety and Depression Scale from the Large Cancer Population. Psychology and Psychoterapy, 75,: 165 a 177.

Snaith, R. & Zigmond, A.(1994). HADS: Hospital Anxiety and Depression Scale. Windsor: NFER Nelson.

Sousa, C.(2005). Representações da Doença, Ajustamento à doença, Morbilidade Psicológica, Qualidade de Vida e Satisfação Marital nos doentes com Esclerose Multipla. Tese de Mestrado. Universidade do Minho.

Strik, J., Honing, A., Lousberg, R., & Denollet, J.(2001). Sensitivity and specificity of observer and self-report questionnairesin major and minor depression following myocardial infraction. Psychossomatics. nº 42. 423-429.

Weiss, D. & Marmer, C.(1997). The Impact of Event Scale – Revised. In J. Peterson & M. Teerence (Eds). Assessing Psychological Trauma and PTSD.New York. Guildford.

Zigmond, A. & Snaith, R.(1983). The Hospital Anxiety and Depression Scale. Acta Psiquiátrica Scandinavica. nº 7. 361-370.

Downloads

PDF (Português (Portugal))

Published

2008-07-15

How to Cite

Pereira MG, Figueiredo AP. Depression, anxiety and post-traumatic stress in patients with colorectal cancer: Validation of the Hospital Anxiety and Depression Scale (HADS) and Impact of Events Scale (IES) in a sample of cancer patients. journal [Internet]. 2008 Jul. 15 [cited 2024 May 16];(05):11-9. Available from: https://onco.news/index.php/journal/article/view/254