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

    Research output: Contribution to journalArticle

    11 Citations (Scopus)

    Abstract

    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
    Volume32
    Issue number3
    DOIs
    Publication statusPublished - 2013

    Keywords

    • Intestinal failure associated complications
    • HOSPITAL ANXIETY
    • Quality of life instruments
    • QUALITY-OF-LIFE
    • IMPACT
    • Intestinal failure
    • Distress thermometer
    • Home parenteral nutrition
    • DEPRESSION SCALE
    • Clinical distress
    • THERMOMETER
    • Quality of life

    Cite this

    Roskott, A. M. C., Huisman-de Waal, G., Wanten, G. J., Jonkers-Schuitema, C., Serlie, M. J., Baxter, J. P., & Hoekstra-Weebers, J. E. H. M. (2013). Screening for psychosocial distress in patients with long-term home parenteral nutrition. European Journal of Clinical Nutrition, 32(3), 396-403. https://doi.org/10.1016/j.clnu.2012.08.023
    Roskott, A. M. C. ; Huisman-de Waal, G. ; Wanten, G. J. ; Jonkers-Schuitema, C. ; Serlie, M. J. ; Baxter, J. P. ; Hoekstra-Weebers, J. E. H. M. / Screening for psychosocial distress in patients with long-term home parenteral nutrition. In: European Journal of Clinical Nutrition. 2013 ; Vol. 32, No. 3. pp. 396-403.
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    title = "Screening for psychosocial distress in patients with long-term home parenteral nutrition",
    abstract = "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.",
    keywords = "Intestinal failure associated complications, HOSPITAL ANXIETY, Quality of life instruments, QUALITY-OF-LIFE, IMPACT, Intestinal failure, Distress thermometer, Home parenteral nutrition, DEPRESSION SCALE, Clinical distress, THERMOMETER, Quality of life",
    author = "Roskott, {A. M. C.} and {Huisman-de Waal}, G. and Wanten, {G. J.} and C. Jonkers-Schuitema and Serlie, {M. J.} and Baxter, {J. P.} and Hoekstra-Weebers, {J. E. H. M.}",
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    Roskott, AMC, Huisman-de Waal, G, Wanten, GJ, Jonkers-Schuitema, C, Serlie, MJ, Baxter, JP & Hoekstra-Weebers, JEHM 2013, 'Screening for psychosocial distress in patients with long-term home parenteral nutrition', European Journal of Clinical Nutrition, vol. 32, no. 3, pp. 396-403. https://doi.org/10.1016/j.clnu.2012.08.023

    Screening for psychosocial distress in patients with long-term home parenteral nutrition. / Roskott, A. M. C.; Huisman-de Waal, G.; Wanten, G. J.; Jonkers-Schuitema, C.; Serlie, M. J.; Baxter, J. P.; Hoekstra-Weebers, J. E. H. M.

    In: European Journal of Clinical Nutrition, Vol. 32, No. 3, 2013, p. 396-403.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Screening for psychosocial distress in patients with long-term home parenteral nutrition

    AU - Roskott, A. M. C.

    AU - Huisman-de Waal, G.

    AU - Wanten, G. J.

    AU - Jonkers-Schuitema, C.

    AU - Serlie, M. J.

    AU - Baxter, J. P.

    AU - Hoekstra-Weebers, J. E. H. M.

    PY - 2013

    Y1 - 2013

    N2 - 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.

    AB - 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.

    KW - Intestinal failure associated complications

    KW - HOSPITAL ANXIETY

    KW - Quality of life instruments

    KW - QUALITY-OF-LIFE

    KW - IMPACT

    KW - Intestinal failure

    KW - Distress thermometer

    KW - Home parenteral nutrition

    KW - DEPRESSION SCALE

    KW - Clinical distress

    KW - THERMOMETER

    KW - Quality of life

    U2 - 10.1016/j.clnu.2012.08.023

    DO - 10.1016/j.clnu.2012.08.023

    M3 - Article

    VL - 32

    SP - 396

    EP - 403

    JO - European Journal of Clinical Nutrition

    JF - European Journal of Clinical Nutrition

    SN - 0954-3007

    IS - 3

    ER -