Correction to: Psychooncological distress in low-grade glioma patients-a monocentric study - Report - MDSpire

Correction to: Psychooncological distress in low-grade glioma patients-a monocentric study

  • By

  • Alessandra Ley

  • Marcel Kamp

  • Christiane von Sass

  • Daniel Hänggi

  • Michael Sabel

  • Marion Rapp

  • October 28, 2024

  • 0 min

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Clinical Report: Psychological Distress in Low-Grade Glioma Patients - Erratum Update

Overview

This erratum corrects calculation errors in tables and clarifies statements regarding psychological distress in low-grade glioma patients. Key findings remain unchanged, confirming that 22.1% of patients exhibit increased distress, with significant associations to pre-existing psychiatric disorders and lack of psychotropic medication.

Background

Low-grade glioma (LGG) patients often experience psychological distress, including anxiety and depression, which can impact quality of life and treatment outcomes. The Hospital Anxiety and Depression Scale (HADS) is a common screening tool used to assess these symptoms. Accurate data reporting is essential to identify risk factors and guide psychooncological support in this population.

Data Highlights

MeasureNumber of Patients (n)Percentage (%)Mean Score95% Confidence IntervalSignificant Associations (p-value)
Increased distress (HADS-T)3222.11.211.15–1.28Pre-existing psychiatric disorders (0.003), Lack of psychotropic medication (0.029)
Increased depression (HADS-D)2517.44.673.85–7.4Having children (0.023), Pre-existing psychiatric disorders (≤0.001), Lack of antidepressant drugs (≤0.001)
Increased anxiety (HADS-A)2517.45.734.98–6.48Female gender (≤0.001), Having children (0.044), Pre-existing psychiatric disorders (≤0.001), Lack of antidepressant drugs (0.002)
Distress Thermometer (DT) ≥58456.4--Sensitivity 84.6%, Specificity 45.0%

Key Findings

  • 22.1% of LGG patients showed increased psychological distress measured by HADS-T.
  • 17.4% had increased depression scores (HADS-D), associated with having children, pre-existing psychiatric disorders, and no history of antidepressant use.
  • 17.4% had increased anxiety scores (HADS-A), significantly higher in females, patients with children, those with psychiatric history, and those without antidepressant medication.
  • Patients with pre-existing psychiatric disorders and those lacking psychotropic medication were more likely to experience increased distress.
  • The Distress Thermometer showed higher sensitivity (84.6%) but lower specificity (45.0%) compared to HADS-T for detecting distress.
  • 19 patients with prior mental disorders and 12 without prior history showed conspicuous HADS results, highlighting the importance of psychiatric history in distress risk.

Clinical Implications

Clinicians should routinely screen LGG patients for psychological distress using validated tools like HADS and consider psychiatric history and medication status when assessing risk. Early identification of distress can facilitate timely psychooncological interventions, potentially improving patient outcomes and quality of life.

Conclusion

Despite minor corrections to data tables, the study confirms that a significant subset of LGG patients experience psychological distress, predominantly influenced by psychiatric history and psychotropic medication use. These findings underscore the need for integrated mental health support in neuro-oncological care.

References

  1. Acta Neurochirurgica 2022 -- Psychooncological distress in low-grade glioma patients - a monocentric study (Erratum)

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