Poster abstracts CONNECTING DIVERSITY

Poster abstracts
Poster abstracts
218. Sensitivity and specificity of a two-question
screening tool for depression in a specialist
palliative care unit.
Ann Payne 1 , Brien Creedon 2 , Sandra Barry 3 , Carol
Stone 4 , Kathleen O’ Sullivan 5 , Catherine Sweeney 6 ,
Tony O’ Brien 6
1
St. Mary’s Orthopoedic Hospital, Block 7, Psychiatry Day
Hospital, Cork, Ireland, Ireland
2
St Vincent’s University Hospital. Elm Park,, Palliative
Medicine, Dublin 4., Ireland
3
Cork University Hospital, Psychiatry, Cork, Ireland
4
St. Lukes Hospital, Palliative Medicine, Dublin 4., Ireland
5
University College Cork, Statistics, Cork, Ireland
6
Marymount Hospice, St. Patrick’s Hospital, Cork, Ireland
Objectives The primary objective in this study is to
determine the sensitivity and specificity of a two-item
screening interview for depression versus the formal
psychiatric interview in the hospice setting, so that we
may identify those individuals suffering from depressive
disorder and therefore optimise their management in
this often-complex population.
Methods A prospective sample of consecutive
admissions (n=167) consented to partake in the study,
and the screening interview was asked separately to the
formal psychiatric interview.
Results The two-item questionnaire, achieved a
sensitivity of 90.7% (95% CI 76.9 - 97.0) and a specificity
of 67.7% (95% CI 58.7 - 75.7). The false positive rate was
32.3% (95% CI 24.3 - 41.3), but the false negative rate
was a low 9.3% (95% CI 3.0 - 23.1).Chi square analysis of
individuals with a past experience of depressive illness,
(n=95), revealed that a significant number screened
positive for depression by the screening test, 55.2%
(16/29) compared to those with no background history
of depression, 33.3% (22/66), (P=0.045).
Conclusion The high sensitivity and low false negative
rate of the two-question screening tool will aid health
professionals in identifying depression in the in-patient
specialist palliative care unit. Individuals, who admit to
a previous experience of depressive illness, are more
likely to respond positively to the two-item
questionnaire than those who report no prior history of
depressive illness, (P=0.045).
219. Illness-related hopelessness in advanced
cancer: influence of anxiety, depression, and
preparatory grief.
Kyriaki Mystakidou 1 , Eleni Tsilika 1 , Efi Parpa 1 , Paraskevi
Athanasouli 2 , Maria Pathiaki 1 , Antonis Galanos1, Anna
Pagoropoulou 2 , Lambros Vlahos 3
1
Areteion Hospital, University of athens, School of
Medicine, Pain Relief & Palliative Care Unit, Department of
Radiology, Athens, Greece
2
University of Philosophy, School of Psychology, Athens,
Greece
3
Areteion Hospital, University of athens, School of
Medicine, Radiology Department, Athens, Greece
Purpose: The growing interest in the psychological
distress in cancer patients has been the major reason for
the conduction of this study. The aims were to assess the
relationship of hopelessness, anxiety, distress, and
preparatory grief, as well as their predictive power to
hopelessness.
Materials and methods: 94 advanced cancer patients
were surveyed at a palliative care unit in Athens, Greece.
Beck hopelessness Scale (BHS), the Greek version of the
Hospital Anxiety and Depression (HAD) scale and
Preparatory Grief (PGAC) were administered.
Information concerning patients’ treatment received
was acquired from the medical records, while physicians
recorded their clinical condition.
Results: The analysis, showed that hopelessness
correlated significantly with preparatory grief (r=0.630,
p