Screening for psychosocial distress in patients with long-term home parenteral nutrition

A. M. C. Roskott, G. Huisman-de Waal, G. J. Wanten, C. Jonkers-Schuitema, M. J. Serlie, J. P. Baxter, J. E. H. M. Hoekstra-Weebers

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    18 Citations (Scopus)


    Background & aims: Long-term home parenteral nutrition (HPN) may cause distress and negatively affect quality of life (QoL). The HPN version of the Distress Thermometer and Problem List (DT/PL) was developed to evaluate distress during HPN. This study validates the DT/PL, examines referral wish for additional care, assesses opinions on the DT/PL, and studies risk factors for distress and referral wish.

    Methods: Dutch and Scottish patients completed questions on socio-demographic and HPN-related general characteristics, the DT/PL, referral wish, the Hospital Anxiety and Depression Scale, and opinions on the DT.

    Results: The HPN version of the DT/PL seemed valid and the PL sufficiently reliable. Cut-off score appeared to be 6. Consequently, 45% of patients were diagnosed as clinically distressed. Fifty-three percent had a referral wish. Emotional and physical problems were most strongly associated with distress. Not being able to work related to elevated distress. Female gender and co-morbidity related to referral wish. Opinions on the DT were generally positive.

    Conclusion: The DT/PL appears to be a good instrument to regularly gain insight into distress and referral wish in HPN patients. Use of the DT/PL facilitates support to patients who most need and want it, thus improving quality of care and QoL. (C) 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

    Original languageEnglish
    Pages (from-to)396-403
    Number of pages8
    JournalEuropean Journal of Clinical Nutrition
    Issue number3
    Publication statusPublished - 2013


    • Intestinal failure associated complications
    • Quality of life instruments
    • IMPACT
    • Intestinal failure
    • Distress thermometer
    • Home parenteral nutrition
    • Clinical distress
    • Quality of life


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