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Screening and referral for psychosocial distress in oncologic practice: Use of the Distress Thermometer
Open accessAbstract
BACKGROUND.: The objectives of this study were to validate the Distress Thermometer (DT) in the Netherlands and to examine its correspondence with a 46‐item Problem List, possible risk factors, and the wish for a referral. METHODS.: A cross‐sectional group of 277 cancer patients who were treated at 9 hospitals filled in the DT and the Hospital Anxiety and Depression Scale and rated the presence and severity of problems (response rate, 49%). RESULTS.: Receiver operating characteristic analyses identified an ideal cutoff score of 5 on the DT with a positive predictive value of 39% and a negative predictive value of 95%. The Problem List appeared to be a reliable measure. Five items on the Problem List correlated strongly with the DT, 13 items had a moderately strong correlation, 26 items were correlated weakly, and 2 items were not correlated significantly. Emotional control, nervousness, pain, and physical fitness appeared to contribute independently to the DT score. The percentage of patients scoring ≥5 (n = 118 patients; 43%) who wanted (14%) or maybe wanted (29%) a referral was significantly higher than the percentage of patients with DT scores <5 (5% and 13%, respectively) who wanted or maybe wanted a referral. Intensively treated patients reported more distress than those who only underwent surgery. No other clear risk factors for distress were identified. CONCLUSIONS.: The DT appeared to be a good instrument for routine screening and ruling out elevated distress. Emotional and physical problems contributed mainly to distress. Experiencing clinically elevated distress did not necessarily suggest that patients wanted a referral. Screening for distress and the wish for a referral can facilitate providing support for those patients who most need and want it. Cancer 2008. © 2008 American Cancer Society.
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“The same holds for the association between willingness to talk to a psychologist or social worker, which has previously been demonstrated to be associated with higher psychological distress [16, 26].”
From Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment (2022) · cites this paper as [16]
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From Psychological intervention targeting distress for cancer patients: a meta-analytic study investigating uptake and adherence. (2016) · cites this paper as [29]
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Metadata
- Authors
- Tuinman, M. A., Gazendam‐Donofrio, S. M., & Hoekstra‐Weebers, J. E.
- Corresponding author
- Hoekstra‐Weebers, Josette E.
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2008-07-10
- Volume
- 113
- Issue
- 4
- Pages
- 870-878
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W1560769006
- Cited by
- 404
- References
- 42
- Citations by year
- 2026: 11 · 2025: 23 · 2024: 10 · 2023: 21 · 2022: 23 · 2021: 22 · 2020: 18 · 2019: 29 · 2018: 25 · 2017: 26 · 2016: 35 · 2015: 19 · 2014: 24 · 2013: 34 · 2012: 29
- FWCI
- 9.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- psychosocial distress, cancer patients, Distress Thermometer, screening, referral, problem list, anxiety, depression, emotional control, pain, risk factors, psychosocial support
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Neoplasms, Predictive Value of Tests, Psychometrics, Referral and Consultation, Risk Factors, Stress, Psychological
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