Reliability and Validity of the Newly Diagnosed Breast Cancer Stress Scale in the Greek Population

Maria Charalampopoulou, Konstantinos Syrigos, Evaggelos Filopoulos, Vasileios Megalooikonomou, Dimitrios Vlachakis, George Chrousos, Christina Darviri

Abstract


Objective: To examine the validity and the reliability of a novel measurement tool, the Newly Diagnosed Breast Cancer Stress Scale (NDBCSS) in the Greek population. The tool aimed to assess distress in patients recently diagnosed with breast cancer. Methods: We performed a principal component analysis (PCA) of the 17 items of the scale. Results: The PCA resulted in 4 factors: 1. Personal life, 2. Procedural issues, 3. Facing challenges and 4. Psychological load. All subscales showed satisfactory internal consistency and variance, relative to theoretical score ranges. Subscale scores and total score were significantly correlated with perceived stress and hospital anxiety and depression scale, implying good criterion validity. Associations with social, demographic and disease related information were also found. Conclusions: The NDBCSS resulted in acceptable reliability and good validity, and was considered as a valuable tool for health-care workers and oncologists to measure psychological distress in early stage of breast cancer.


Keywords


Validation, psychometric instrument, newly diagnosed, breast cancer, distress

References


Andreou E, Alexopoulos EC, Lionis C, Varvogli L, Gnardellis C, Chrousos GP & Darviri C 2011 Perceived stress scale: reliability and validity study in Greece. Int J Environ Res Public Health 8 3287-3298

Barrera I & Spiegel D 2014 Review of psychotherapeutic interventions on depression in cancer patients and their impact on disease progression. Int Rev Psychiatry 26 31-43

Brocken P, Prins JB, Dekhuijzen PR & van der Heijden HF 2012 The faster the better?—A systematic review on distress in the diagnostic phase of suspected cancer, and the influence of rapid diagnostic pathways. Psychooncology 21 1-10

Cheng SY, Lai YH, Chen SC, Shun SC, Liao YM, Tu SH, Chen CS, Hsiang CY & Chen CM 2012 Changes in quality of life among newly diagnosed breast cancer patients in Taiwan. J Clin Nurs 21 70-79

Chrousos GP 2009 Stress and disorders of the stress system. Nat Rev Endocrinol 5 374

Cohen S, Kamarck T & Mermelstein R 1983 A global measure of perceived stress. J Health Soc Behav 24 385-396

Fallowfield L, Ratcliffe D, Jenkins V & Saul J 2001 Psychiatric morbidity and its recognition by doctors in patients with cancer. Br J Cancer 84 1011

Farrell C, Heaven C, Beaver K & Maguire P 2005 Identifying the concerns of women undergoing chemotherapy. Patient Educ Couns 56 72-77

Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JWW, Comber H, Forman D & Bray F 2013 Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer 49 1374-1403

Field A 2009 Discovering statistics using SPSS. Sage publications

Henselmans I, Helgeson VS, Seltman H, de Vries J, Sanderman R & Ranchor AV 2010 Identification and prediction of distress trajectories in the first year after a breast cancer diagnosis. Health Psychol 29 160

Holland JC & Bultz BD 2007 The NCCN guideline for distress management: a case for making distress the sixth vital sign. J Natl Compr Canc Netw 5 3-7

Howell D & Olsen K 2011 Distress—the 6th vital sign. Curr Oncol 18 208

Hulbert‐Williams N, Neal R, Morrison V, Hood K & Wilkinson C 2012 Anxiety, depression and quality of life after cancer diagnosis: what psychosocial variables best predict how patients adjust? Psychooncology 21 857-867

Lam WW, Shing YT, Bonanno GA, Mancini AD & Fielding R 2012 Distress trajectories at the first year diagnosis of breast cancer in relation to 6 years survivorship. Psychooncology 21 90-99

Lee TY, Chen HH, Yeh ML, Li HL & Chou KR 2013 Measuring reliability and validity of a newly developed stress instrument: Newly Diagnosed Breast Cancer Stress Scale. J Clin Nurs 22 2417-2425

Michopoulos I, Douzenis A, Kalkavoura C, Christodoulou C, Michalopoulou P, Kalemi G, Fineti K, Patapis P, Protopapas K & Lykouras L 2008 Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample. Ann Gen Psychiatry 7 4

Nader N, Chrousos GP & Kino T 2010 Interactions of the circadian CLOCK system and the HPA axis. Trends Endocrinol Metab 21 277-286

Newell S, Sanson‐Fisher RW, Girgis A & Bonaventura A 1998 How well do medical oncologists' perceptions reflect their patients' reported physical and psychosocial problems? Data from a survey of five oncologists. Cancer 83 1640-1651

Obradović MM, Hamelin B, Manevski N, Couto JP, Sethi A, Coissieux MM, Münst S, Okamoto R, Kohler H, Schmidt A & Bentires-Alj M 2019 Glucocorticoids promote breast cancer metastasis. Nature 567 540-544

Page AE & Adler NE 2008 Cancer care for the whole patient: Meeting psychosocial health needs. National Academies Press

Passik SD, Dugan W, McDonald MV, Rosenfeld B, Theobald DE & Edgerton S 1998 Oncologists' recognition of depression in their patients with cancer. J Clin Oncol 16 1594-1600

Pirl WF, Muriel A, Hwang V, Kornblith A, Greer J, Donelan K, Greenberg DB, Temel J & Schapira L 2007 Screening for psychosocial distress: a national survey of oncologists. J Support Oncol 5 499-504

Sephton SE, Sapolsky RM, Kraemer HC & Spiegel D 2000 Diurnal cortisol rhythm as a predictor of breast cancer survival. J Natl Cancer Inst 92 994-1000

Sjödén PO & Lampic C 2000 Patient and staff perceptions of cancer patients' psychological concerns and needs. Acta Oncol 39 9-22

Söllner W, DeVries A, Steixner E, Lukas P, Sprinzl G, Rumpold G & Maislinger S 2001 How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling? Br J Cancer 84 179

Zigmond AS & Snaith RP 1983 The hospital anxiety and depression scale. Acta Psychiatr Scand 67 361-370


Full Text: PDF

Refbacks

  • There are currently no refbacks.


Copyright © 2021 Journal of Molecular Biochemistry