Article révisé par les pairs
Résumé : Ninety-nine cancer patients have been studied in order to estimate the risk factors together with high emotional distress. The results show a significant correlation between the hospital anxiety and depression scale (HAD) designed by Zigmond and Snaith [Acta Psychiatr Scand, 67, 361-370 (1983)] and the psychiatric disorders according to DSM-III criteria (major affective disorders and adjustment disorders). Sociodemographic data show an anxiety mean score significantly higher in women than in men. Neither illness related variables, nor personality disorders, nor psychiatric antecedents, nor psychosocial support show differences in HAD mean sores. There exists no difference of emotional distress estimated with HAD between denying and non-denying patients. Risk factors of emotional distress appear to be a complex variable. The study is still going on but at this point, HAD seems to be a valid and reliable instrument for screening cancer patients with psychiatric disorders.