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Development of An Assessment Tool for Early Detection of a Depressive State in Patients with Cancer Suemi Oyama 1 , Junko Fukada 2 , Yayoi Kamakura 3 1Department of Nursing Science, Faculty of Health Sciences, Naragakuen University 2School of Nursing & Health, Aichi Prefectural University 3Japanese Red Cross Toyota College of Nursing Keyword: 抑うつ状態 , アセスメントツール , がん患者 , depressive state , assessment tool , cancer patients pp.105-115
Published Date 2017/12/31
  • Abstract
  • Reference

Objective: The purpose of this study was to develop an assessment tool for early detection of depressive states in patients with cancer.

Method: The study was approved by the ethics board of the affiliated university. For the assessment tool (AT), 28 items were developed based on a comprehensive review of the literature and the criteria for major depressive episodes according to the DSM-IV-TR. Content validity was confirmed with a three-round, modified Delphi technique administered to certified nurse specialists in cancer nursing or psychiatric mental health nursing in Japan. Inter-observer reliability was assessed in a pilot study. Item analysis, reliability, and validity were assessed in the main survey. Severity of AT scores was based on the severity of BDI-II scores. Nurses estimated depression severity using the AT for 7 days during day shifts, and patients were asked to use the BDI-II.

Sample: The pilot study was conducted with 27 diagnosed cancer patients and 15 nurses, and the main survey was conducted with 377 diagnosed cancer patients and 79 nurses.

Result: 1)The AT consisted of 24 items as a result of the literature review, according to the DSM-IV-TR major depressive episode definition, and the modified Delphi technique. 2)The inter-observer concordance rate was 93-100%. 3)Item analysis resulted in 21 final items. 4)A confirmatory factor analysis yielded a GFI of 0.768. The reliability of the AT was confirmed by a Cronbach's alpha internal consistency reliability coefficient of 0.932. A significant difference in severity classification between the BDI-II score and AT score (p<0.05) was found.

Conclusion: The above findings indicate that the developed AT had content validity, interrater reliability, construct validity, reliability, and criterion-related validity. The subject of the next investigation will establish whether the AT can distinguish the severity of depression.


Copyright © 2017, Japanese Society of Cancer Nursing All rights reserved.

基本情報

電子版ISSN 2189-7565 印刷版ISSN 0914-6423 日本がん看護学会

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