• Patient-reported depression measures in cancer: a meta-review

      Wakefield, Claire E.; Butow, Phyllis N.; Aaronson, Neil A.; Hack, Thomas F.; Hulbert-Williams, Nicholas J.; Jacobsen, Paul B.; University of Chester (Lancet, 2015-07)
      It is unclear which patient-reported depression measures perform best in oncology settings. We conducted a meta-review to integrate the findings of reviews of more than 50 depression measures used in oncology. We searched Medline, PsycINFO, EMBASE and grey literature from 1999-2014 to identify 19 reviews representing 372 primary studies. Eleven reviews were rated as being of high quality. The Hospital Anxiety Depression Scale (HADS) was most thoroughly evaluated, but was limited by cut-point variability. The HADS had moderate screening utility indices and was least recommended in advanced cancer/palliative care. The Beck Depression Inventory was more generalizable across cancer types/disease stages, with good indices for screening and case finding. The Centre of Epidemiology-Depression Scale was the best-weighted measure in terms of responsiveness. This meta-review provides a comprehensive overview of the strengths and limitations of available depression measures. It can inform the choice of the best measure for specific settings and purposes.
    • Protocol for a systematic review of screening tools for fear of recurrent illness in common life threatening diseases

      Jones, Jenny; Kane, Paul; Polson, Rob; Leslie, Stephen J.; Hulbert-Williams, Nicholas J.; Simard, Sébastien; Ozakinci, Gozde; Hubbard, Gill; University of Plymouth ; University of Stirling ; Highland Health Sciences Library ; University of Stirling/Highland Heartbeat Centre ; University of Chester ; Hospital Laval, Québec ; University of St Andrews ; University of Stirling (BioMed Central, 2015-03-19)
      A myocardial infarction (MI) (‘heart attack’) can be intensely stressful, and the impact of this event can leave patients with clinically significant post-MI stress symptoms. Untreated stress can make heart disease worse. Few tools are available that screen for specific thoughts or beliefs that can trigger post-MI stress responses. In other life-threatening illnesses, fear of recurrence (FoR) of illness has been identified as a key stressor, and screening tools have been developed to identify this. The aim of this review is to identify FoR screening tools used in other common life-threatening diseases that report on the development of the tool, to assess if there are any that can be adapted for use in MI survivors so that those with high levels of FoR can be identified and helped.