Comparison Between the Assessment of Anxious and Depressive Symptomology

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-15

Study Completion Date

2020-11-13

Brief Summary

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In palliative care, anxiety and depression in advanced cancer are under evaluated, under diagnosed and therefore under treated. 5 to 30% of patients present anxious and depressive disorders.

Physical symptoms are easy to assess. But in palliative care it is important to take care of moral suffering.

However, evaluation and management of patient's anxiety and depressive symptoms are difficult for physicians and caregivers.

The investigators would like to specifically compare the patient's evaluation of anxious and depressive symptomatology in palliative care with the evaluation by the physician, the nurse and the caregiver.

Then the investigators will try to collect the caregivers's difficulties in the management of anxious and depressive symptoms.

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Detailed Description

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Conditions

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End Stage Disease

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients

Anyone who is hospitalized in the palliative care service of the Lyon Sud Hospital Center.

Questionnaire

Intervention Type OTHER

Patients complete a questionnaire for assess their symptoms like anxiety and depression.

These questionnaires contains:

* socio-demographic characteristics : sex, age, type and stage of cancer, performans status
* ESAS : Edmonton Symptom Assessement Scale is a validated tool for assessment of several symptoms
* HADS - A : Hospital Anxiety and Depression scale includes 2 subscales which assess anxiety (HADS-A) and depression (HADS-D)
* BEDS : Brief Edimburg depression Scale is s a relevant scale for assess depression in palliative care patients.
* Questions on the assessment, the treatment and difficulties in management of anxious and depressive symptoms.

The evaluation will be realized in the first days of hospitalization (72 hours).

Doctors

Doctors taking care of patients in the study will be solicited by the research nurse or a study investigator.

Medical staff questionnaire

Intervention Type OTHER

Questionnaire is different from caregivers. The evaluation will be realized in the first days of hospitalization (72 hours).

Physicians, nurses and caregivers complete another questionnaire. The physician questioned will be the doctor of unit having received the patient, or the doctor of the mobile team of palliative care having admitted the patient in the unit.

These questionnaires contains:

* socio-demographic characteristics : sex, age, type and stage of cancer, performans status
* ESAS : Edmonton Symptom Assessement Scale is a validated tool for assessment of several symptoms

Nurses

Nurses taking care of patients in the study will be solicited by the research nurse or a study investigator.

Medical staff questionnaire

Intervention Type OTHER

Questionnaire is different from caregivers. The evaluation will be realized in the first days of hospitalization (72 hours).

Physicians, nurses and caregivers complete another questionnaire. The physician questioned will be the doctor of unit having received the patient, or the doctor of the mobile team of palliative care having admitted the patient in the unit.

These questionnaires contains:

* socio-demographic characteristics : sex, age, type and stage of cancer, performans status
* ESAS : Edmonton Symptom Assessement Scale is a validated tool for assessment of several symptoms

Caregivers

Caregivers taking care of patients in the study will be solicited by the research nurse or a study investigator.

Medical staff questionnaire

Intervention Type OTHER

Questionnaire is different from caregivers. The evaluation will be realized in the first days of hospitalization (72 hours).

Physicians, nurses and caregivers complete another questionnaire. The physician questioned will be the doctor of unit having received the patient, or the doctor of the mobile team of palliative care having admitted the patient in the unit.

These questionnaires contains:

* socio-demographic characteristics : sex, age, type and stage of cancer, performans status
* ESAS : Edmonton Symptom Assessement Scale is a validated tool for assessment of several symptoms

Interventions

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Questionnaire

Patients complete a questionnaire for assess their symptoms like anxiety and depression.

These questionnaires contains:

* socio-demographic characteristics : sex, age, type and stage of cancer, performans status
* ESAS : Edmonton Symptom Assessement Scale is a validated tool for assessment of several symptoms
* HADS - A : Hospital Anxiety and Depression scale includes 2 subscales which assess anxiety (HADS-A) and depression (HADS-D)
* BEDS : Brief Edimburg depression Scale is s a relevant scale for assess depression in palliative care patients.
* Questions on the assessment, the treatment and difficulties in management of anxious and depressive symptoms.

The evaluation will be realized in the first days of hospitalization (72 hours).

Intervention Type OTHER

Medical staff questionnaire

Questionnaire is different from caregivers. The evaluation will be realized in the first days of hospitalization (72 hours).

Physicians, nurses and caregivers complete another questionnaire. The physician questioned will be the doctor of unit having received the patient, or the doctor of the mobile team of palliative care having admitted the patient in the unit.

These questionnaires contains:

* socio-demographic characteristics : sex, age, type and stage of cancer, performans status
* ESAS : Edmonton Symptom Assessement Scale is a validated tool for assessment of several symptoms

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Patients :

* Adult patients (18 years and over)
* Advanced cancer stage
* Patients hospitalized less than 72 hours in Lyon Sud palliative care unit
* Sufficient general conditions to complete survey
* Absence of cognitive disorders
* Agreement to participate at the study

Medical Staff:

\- Working full time or part time in the USP or the PMSC of CHLS

Exclusion Criteria

Patients :

* Minor patients
* Patients hospitalized more than 72 hours in Lyon Sud palliative care unit
* Presence of cognitive disorders
* Alteration of general conditions
* Refusal to participate at the study

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes