Development of the Japanese Version of the Psychosocial Assessment of Candidates for Transplantation in Allogeneic Hematopoietic Stem Cell Transplantation.
Psychosomatics
; 58(3): 292-298, 2017.
Article
em En
| MEDLINE
| ID: mdl-28314524
ABSTRACT
BACKGROUND:
The Psychosocial Assessment of Candidates for Transplantation (PACT) is a validated instrument for evaluating psychosocial risk factors in transplant candidates.OBJECTIVES:
This study examined reliability and validity of the Japanese version of the PACT (J-PACT).METHODS:
PACT is a clinician-rated scale consisting of an initial rating, 8 subscales, and a final rating. J-PACT was developed through a translation and back-translation procedure. Seventy adult patients who underwent allogeneic hematopoietic stem cell transplant between April 2009 and December 2013 received retrospective J-PACT ratings based on medical records. Interrater reliability and concurrent validity with Hospital Anxiety and Depression Scale (HADS) and Profile of Mood Status (POMS) scores were assessed.RESULTS:
Interrater reliability for each J-PACT item was generally high, ranging from 0.53 (drug and alcohol use)-0.93 (support stability). The concurrent validity analyses revealed the following significant relationships (p < 0.05). Higher support stability was associated with lower HADS depression (p = 0.02), POMS anger (p = 0.001), POMS fatigue (p = 0.03), and POMS confusion (p = 0.01) scores. Higher support availability was associated with lower POMS anger scores (p = 0.01). More suitable personality was associated with lower HADS anxiety (p = 0.04) and HADS depression (p = 0.048) scores. Better scores on lifestyle factors and alcohol use were both associated with lower POMS confusion scores (p = 0.01, 0.04, respectively). Better final rating was associated with lower HADS anxiety (p = 0.03) and HADS depression (p = 0.02) scores.CONCLUSION:
J-PACT was reliable and valid, although further study is needed to confirm these findings.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Escalas de Graduação Psiquiátrica
/
Transplante de Células-Tronco Hematopoéticas
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article