@article{oai:repo.qst.go.jp:00044767,
 author = {Ohno, Tatsuya and Noguchi, Wataru and Nakayama, Yuko and Kato, Shingo and Tsujii, Hirohiko and Suzuki, Yoshihiko and 大野 達也 and 野口 海 and 加藤 眞吾 and 辻井 博彦},
 issue = {4},
 journal = {Journal of Palliative Medicine},
 month = {},
 note = {Abstract
Objectives:The aim of this study was to clarify how physicians should
interpret cancer patients who answer"neither"to the single-question
interview "are you depressed or not?"
Patients and methods: Two-hundred and fifty-one patients with cancer
were studied. The patients were directly interviewed, choosing one
answer among these three: "yes, I am depressed", "no, I am not
depressed", and "neither".  Following this, the patients completed the
Hospital Anxiety and Depression Scale (HADS).  The threshold of 11 or
greater on HADS was used for adjustment disorder and major depressive
disorder.
Results: All patients could reply to the single question, but 10
patients did not complete HADS.  Among 83, 81 and 77 patients who
answered "yes", "neither" and "no", respectively, 75 (90%), 43 (65%) and
9 (12%) patients scored > 11 on HADS.  The mean score of HADS was 12.2
in patients who answered "neither", significantly higher than that of
the "no" group (p<0.0001) and significantly lower than that of the "yes"
group (p<0.0001).
Conclusion: Patients who answered "neither" frequently scored in a high
enough range to warrant further investigation for adjustment or
depressive disorder.},
 pages = {861--865},
 title = {How Do We Interpret the Answer "Neither" When Physicians Ask Patients with Cancer "Are You Depressed or Not?"},
 volume = {9},
 year = {2006}
}