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2 results

  • Developing the social distress scale for head and neck cancer outpatients in Japan

  • Minako Deno, Mie Tashiro, Mitsunori Miyashita, Takahiro Asakage, Koji Takahashi, Kenich Saito, Yasunobu Busujima, Yoshiyuki Mori, Hiroto Saito, Yuji Ichikawa
  • Journal:
    Palliative & Supportive Care / Volume 9 / Issue 2 / June 2011
    Published online by Cambridge University Press:
    04 May 2011, pp. 165-172
  • Objective:

    This study assessed the factor structure, internal consistency, and concurrent and discriminant validity of a scale used to measure social distress in Japanese head and neck cancer outpatients with facial disfigurement.

    Method:

    The sample included 225 Japanese outpatients with head and neck cancer, including 129 patients with facial disfigurement. Participants' level of social distress was assessed through our scale, the European Organization for Research and Treatment Cancer questionnaire (EORTC) QLQ-H&N35 and the Hospital Anxiety and Depression scale (HADS).

    Results:

    Factor analyses confirmed the structure of two subscales of the social distress scale. Social distress was significantly correlated with the social contact subscale of the EORTC QLQ-H&N35 and the HADS.

    Significance of results:

    Results demonstrated preliminary reliability and validity of the social distress scale. This scale may extend social adjustment research by revealing its determinants and effects for head and neck cancer with facial disfigurement in Japan.

  • 7 - Mental health aspects of general health care

  • Edited by David Hamburg, Norman Sartorius, World Health Organization, Geneva
  • Book:
    Health and Behaviour
    Published online:
    06 August 2010
    Print publication:
    17 August 1989, pp 162-177

  • Summary

    Mental disorders are not only very much more common in health care settings than in random samples of the population but also that they are frequently unrecognized by medical professionals. Patients who have mental illnesses that are not detected by their doctors have been termed the hidden psychiatric morbidity of general medical practice. Since mentally disordered people can become physically ill for the same reasons as mentally healthy people, we should expect to find some patients in general medical settings with two unrelated illnesses, and this certainly does happen. Somatization has been succinctly defined as the expression of personal and social distress in an idiom of bodily complaints for which medical help is sought. There is enormous variation among individual physicians both in their ability to detect mental illness and in the kind of treatment they give patients with particular disorders.