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Title: | The Value of Fatigue Severity to Rule Out Depression in Older Adult Patients With Cancer | Authors: | Deckx, Laura van den Akker, Marjan Vergeer, Denise van Abbema, Doris van den Berkmortel, Franchette LINSEN, Loes DE JONGE, Eric HOUBEN, Bert van Driel, Mieke Buntinx, Frank |
Issue Date: | 2015 | Publisher: | ONCOLOGY NURSING SOC | Source: | ONCOLOGY NURSING FORUM, 42 (4), p. E302-E309 | Abstract: | Purpose/Objectives: To evaluate whether fatigue severity can serve as a cue to investigate the presence of depression in older adult patients with cancer. Design: Cross-sectional observational cohort study. Setting: Seven hospitals and general practices in Belgium and the Netherlands. Sample: 205 older adult patients with cancer and 436 older adults without cancer (aged 70 years or older). Methods: The diagnostic accuracy of fatigue as a proxy for depression was evaluated using sensitivity, specificity, and predictive values. Main Research Variables: Fatigue was measured with a visual analog scale, and depression was measured with the 15-item Geriatric Depression Scale. Findings: Fifty-six percent of the population experienced fatigue, and 13% were depressed. For fatigue as a cue for depression, sensitivity was 82%, specificity was 47%, positive predictive value was 18%, and negative predictive value was 95%. Conclusions: The data confirm that fatigue is a valuable cue to investigate the presence of depression because 82% of depressed participants were correctly identified by fatigue. The assessment of fatigue severity is intuitive, quick, straightforward, and usually already implemented. Implications for Nursing: Identification of depression is difficult in older adult patients with cancer. Instead of experiencing affective symptoms of depression, older adult patients are more likely to disclose somatic symptoms, such as fatigue, which often overlap with cancer-related symptoms. Nurses should be aware of this problem and should be alert for the possibility of depression in older adult patients presenting with fatigue. | Notes: | [Deckx, Laura; van den Akker, Marjan; Buntinx, Frank] Katholieke Univ Leuven, Dept Gen Practice, Leuven, Belgium. [Deckx, Laura] Univ Queensland, Discipline Gen Practice, Brisbane, Qld 4072, Australia. [van den Akker, Marjan; Buntinx, Frank] Maastricht Univ, Dept Family Med, Maastricht, Netherlands. [Vergeer, Denise] Vrije Univ Amsterdam Med Ctr, Amsterdam, Netherlands. [van den Berkmortel, Franchette] Maastricht Univ, Med Ctr, Dept Med Oncol, Maastricht, Netherlands. [van den Berkmortel, Franchette] Atrium Med Ctr Parkstad, Dept Internal Med, Heerlen, Netherlands. [Linsen, Loes] Univ Biobank Limburg, Hasselt, Belgium. [Linsen, Loes] Jessa Hosp, Clin Lab Expt Hematol, Hasselt, Belgium. [de Jonge, Eric T.] Ziekenhuis Oost Limburg, Dept Gynecol, Genk, Belgium. [Houben, Bert] Jessa Hosp, Dept Abdominal & Oncol Surg, New Delhi, India. [van Driel, Mieke] Univ Queensland, Sch Med, Brisbane, Qld, Australia. | Keywords: | cancer in older adults; aging; depression; fatigue; screening;cancer in older adults; aging; depression; fatigue; screening | Document URI: | http://hdl.handle.net/1942/19887 | ISSN: | 0190-535X | e-ISSN: | 1538-0688 | DOI: | 10.1188/15.ONF.E302-E309 | ISI #: | 000357901500016 | Rights: | Copyright 2015 by the Oncology Nursing Society. For permission to post online, reprint, adapt, or reuse, please email pubpermissions@ons.org | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2016 |
Appears in Collections: | Research publications |
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