How do we interpret the answer "Neither" when physicians ask patients with cancer "Are you depressed or not?".

Abstract:

OBJECTIVES:The aim of this study was to clarify how physicians should interpret the answer "neither" to the single-question interview, "Are you depressed or not?" PATIENTS AND METHODS:Two hundred fifty-one patients with cancer were studied. The patients were directly interviewed, choosing one answer among these three: "Yes, I am depressed"; "No, I am not depressed"; or "Neither." After this, the patients completed the Hospital Anxiety and Depression Scale (HADS). The threshold of 11 or greater on HADS was used for adjustment disorder and major depressive disorder. RESULTS:All patients could reply to the single question, but 10 patients did not complete HADS. Among 83, 81 and 77 patients who answered "yes," "neither," and "no," respectively, 75 (90%), 43 (65%), and 9 (12%) patients scored 11 or more on HADS. The mean score of HADS was 12.2 in patients who answered "neither," significantly higher than that of the "no" group (p < 0.0001) and significantly lower than that of the "yes" group (p < 0.0001). CONCLUSION:Patients who answered "neither" frequently scored in a high enough range to warrant further investigation for adjustment or depressive disorder.

journal_name

J Palliat Med

authors

Ohno T,Noguchi W,Nakayama Y,Kato S,Tsujii H,Suzuki Y

doi

10.1089/jpm.2006.9.861

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

861-5

issue

4

eissn

1096-6218

issn

1557-7740

journal_volume

9

pub_type

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