Browsing by Author "Bultz, B.D."
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Item Open Access Characterizing distress, the 6th vital sign, in an oncology pain clinic(Multimed Inc., 2012-04) Waller, A.; Groff, S.L.; Hagen, N.; Bultz, B.D.; Carlson, L.E.Item Open Access High levels of untreated distress and fatigue in cancer patients(Springer Nature, 2004-5-25) Lamont, L.; Bultz, B.D.; Simpson, J.S.A.; Robinson, J.; Pelletier, G.; Martin, M.; MacRae, J.H.; Carlson, Linda E.; Angen, M.; Cullum, J.; Goodey, E.; Koopmans, J.; Tillotson, L.; Speca, M.The purpose of the study was to assess a large representative sample of cancer patients on distress levels, common psychosocial problems, and awareness and use of psychosocial support services. A total of 3095 patients were assessed over a 4-week period with the Brief Symptom Inventory-18 (BSI-18), a common problems checklist, and on awareness and use of psychosocial resources. Full data was available on 2776 patients. On average, patients were 60 years old, Caucasian (78.3%), and middle class. Approximately, half were attending for follow-up care. Types of cancer varied, with the largest groups being breast (23.5%), prostate (16.9%), colorectal (7.5%), and lung (5.8%) cancer patients. Overall, 37.8% of all patients met criteria for general distress in the clinical range. A higher proportion of men met case criteria for somatisation, and more women for depression. There were no gender differences in anxiety or overall distress severity. Minority patients were more likely to be distressed, as were those with lower income, cancers other than prostate, and those currently on active treatment. Lung, pancreatic, head and neck, Hodgkin's disease, and brain cancer patients were the most distressed. Almost half of all patients who met distress criteria had not sought professional psychosocial support nor did they intend to in the future. In conclusion, distress is very common in cancer patients across diagnoses and across the disease trajectory. Many patients who report high levels of distress are not taking advantage of available supportive resources. Barriers to such use, and factors predicting distress and use of psychosocial care, require further exploration.Item Open Access Online screening for distress, the 6th vital sign, in newly diagnosed oncology outpatients: randomised controlled trial of computerised vs personalised triage(Springer Nature, 2012-7-24) Carlson, Linda E.; Bultz, B.D.; Zhong, L.; Groff, S.L.; Waller, A.This randomised controlled trial examined the impact of screening for distress followed by two different triage methods on clinically relevant outcomes over a 12-month period.Item Open Access Reply: benefits of screening cancer patients for distress still not demonstrated(Springer Nature, 2013-01-31) Groff, S.L.; Bultz, B.D.; Zhong, L.; Carlson, Linda E.; Waller, A.Item Open Access Reply: Comment on ‘Online screening for distress, the 6th vital sign, in newly diagnosed oncology outpatients: randomised controlled trial of computerised vs personalised triage’ – Psychological distress in patients with cancer: is screening the effective solution?(Springer Nature, 2013-06) Bultz, B.D.; Groff, S.L.; Waller, A.; Carlson, Linda E.