Die deutsche Version des NCCN Distress-Thermometers: Empirische Prüfung eines Screening-Instruments zur Erfassung psychosozialer Belastung bei Krebspatienten
Abstract
Zusammenfassung: Das NCCN Distress-Thermometer ist ein vom National Comprehensive Cancer Network (NCCN) entwickeltes Screeninginstrument zur Erfassung psychosozialer Belastungen bei onkologischen Patienten. Es besteht aus einer Skala von 0 bis 10 und einer Problemliste als Überweisungsschema zu entsprechenden professionellen Diensten. International wird ein Cut-off-Wert von 5 als Signal empfohlen, dass ein Patient auffällig belastet ist und Unterstützung benötigt. Die deutsche Adaptation erfolgte an einer Stichprobe von n = 475 Krebspatienten in der onkologischen Rehabilitation. Zur Validierung wurde die Hospital Anxiety and Depression Scale (HADS-D) und die Kurzform des Fragebogens zur Progredienzangst (PA-F 12) eingesetzt. Die Diskriminationsfähigkeit des Distress-Thermometers ist besonders zur Identifikation einer hohen Belastung (HADS Cut-off > 11) mit AUC-Werten von 0.71 bis 0.76 gut. Bei einem Cut-off-Wert von 5 im Distress-Thermometer zeigen sich bei moderater Belastung in den Merkmalen Angst und/oder Depressivität (HADS Cut-off > 8) eine Sensitivität bis 84 % und eine deutlich niedrigere Spezifität von bis zu 47 %. Bei einem HADS Cut-off > 11 und einem Cut-off-Wert von 5 im Distress-Thermometer liegen die Sensitivitätswerte bei bis zu 97 % und die Spezifitätswerte bei 41 %. Die Spezifität des Instruments ist in der deutschen Stichprobe niedriger als die in internationalen Studien gefundenen Werte, die Sensitivität ist entsprechend höher. Das NCCN Distress-Thermometer stellt aufgrund seiner hohen Akzeptanz, seiner Kürze und guten Praktikabilität im klinischen Alltag ein Screeninginstrument dar, das für den weiteren Einsatz in der onkologischen Versorgung empfohlen werden kann.
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The distress thermometer is an established and rapid screening tool for stress, with a value of 5 indicating that a patient is distressed and needs support.
“We will apply the distress thermometer for assessing distress.29 It is an established and rapid screening tool for stress, presented as a visual thermometer on a scale from 0 (‘no stress’) to 10 (‘extreme stress’). A value of 5 indicates that a patient is distressed and needs support.”
The Distress Thermometer (DT) is an efficient, convenient, validated, established and rapid screening instrument for distress, presented as a visual thermometer from 0 to 10.
“DT is an efficient and convenient validated measurement of assessing distress. It is an established and rapid screening instrument for distress, which is presented as a visual thermometer using a scale from 0 (no distress) to 10 (extreme distress).”
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- Authors
- Mehnert, A., Müller, D., Lehmann, C., & Koch, U.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Venue
- Zeitschrift für Psychiatrie, Psychologie und Psychotherapie
- Publisher
- Hogrefe Publishing Group
- Published
- 2006-01
- Volume
- 54
- Issue
- 3
- Pages
- 213-223
- ISSN
- 1661-4747 (ISSN-L)
- 1664-2929
- OpenAlex
- W2130117123
- Cited by
- 440
- References
- 28
- Citations by year
- 2026: 31 · 2025: 36 · 2024: 41 · 2023: 43 · 2022: 33 · 2021: 57 · 2020: 32 · 2019: 19 · 2018: 24 · 2017: 28 · 2016: 21 · 2015: 14 · 2014: 9 · 2013: 13 · 2012: 10
- FWCI
- 2.07
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- Zeitschrift für Psychiatrie Psychologie und Psychotherapie (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Education › Health Education and Validation
- Keywords
- NCCN Distress Thermometer, German adaptation, psychosocial distress screening, cancer patients, cancer rehabilitation, anxiety, depression, Hospital Anxiety and Depression Scale, screening cut-off values, sensitivity and specificity, instrument validation
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