Screening for emotional distress in cancer patients: a systematic review of assessment instruments

Vodermaier, A.; Linden, W.; Siu, C.

doi:10.1093/jnci/djp336

Cited by 541Cancer survivorship and careAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChildhood Cancer Survivors' Quality of Life

Screening for emotional distress in cancer patients: a systematic review of assessment instruments

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Vodermaier, A., Linden, W., Siu, C.·2009·JNCI Journal of the National Cancer Institute

DOI 10.1093/jnci/djp336PMC PMC3298956

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Abstract

Screening for emotional distress is becoming increasingly common in cancer care. This systematic review examines the psychometric properties of the existing tools used to screen patients for emotional distress, with the goal of encouraging screening programs to use standardized tools that have strong psychometrics. Systematic searches of MEDLINE and PsycINFO databases for English-language studies in cancer patients were performed using a uniform set of key words (eg, depression, anxiety, screening, validation, and scale), and the retrieved studies were independently evaluated by two reviewers. Evaluation criteria included the number of validation studies, the number of participants, generalizability, reliability, the quality of the criterion measure, sensitivity, and specificity. The literature search yielded 106 validation studies that described a total of 33 screening measures. Many generic and cancer-specific scales satisfied a fairly high threshold of quality in terms of their psychometric properties and generalizability. Among the ultrashort measures (ie, those containing one to four items), the Combined Depression Questions performed best in patients receiving palliative care. Among the short measures (ie, those containing five to 20 items), the Center for Epidemiologic Studies-Depression Scale and the Hospital Anxiety and Depression Scale demonstrated adequate psychometric properties. Among the long measures (ie, those containing 21-50 items), the Beck Depression Inventory and the General Health Questionaire-28 met all evaluation criteria. The PsychoSocial Screen for Cancer, the Questionnaire on Stress in Cancer Patients-Revised, and the Rotterdam Symptom Checklist are long measures that can also be recommended for routine screening. In addition, other measures may be considered for specific indications or disease types. Some measures, particularly newly developed cancer-specific scales, require further validation against structured clinical interviews (the criterion standard for validation measures) before they can be recommended.

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The HADS is validated and extensively used in the measurement of distress among cancer survivors.
“The HADS is validated and extensively used in the measurement of distress among cancer survivors (Vodermaier et al., 2009; Mitchell et al., 2010).”
From A randomised controlled trial comparing internet-delivered cognitive behavioural therapy (iCBT) with and without main carer access versus treatment-as-usual for depression and anxiety among breast cancer survivors: Study protocol (2021) · cites this paper as Vodermaier et al., 2009

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[53]Recklitis CJ Rodriguez P Screening adult survivors of childhood cancer with the distress thermometer: a comparison with the SCL-90-R Psychooncology 2007 16 11 1046 1049 17506074
[134]Spielberger DC Gorsuch RL Lushene RE Manual of the State-Trait Anxiety Inventory 1970 Palo Alto, CA Consulting Psychologists Press

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Advancing psychosocial care in cancer patients
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The Distress Thermometer: Cutoff Points and Clinical Use
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Screening for major depression in cancer outpatients
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Quality of Life and Affective Well-Being in Middle-Aged and Older People with Chronic Medical Illnesses: A Cross-Sectional Population Based Study
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Prevalence and prognostic implications of psychological distress in patients with gastric cancer
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No further research needed: abandoning the Hospital and Anxiety Depression Scale (HADS)
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Patient education using virtual reality increases knowledge and positive experience for breast cancer patients undergoing radiation therapy
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Psychological distress in cancer from survivorship to end of life care: Prevalence, associated factors and clinical implications
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Does screening for distress efficiently uncover meetable unmet needs in cancer patients?
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Defining Hospital Anxiety and Depression Scale (HADS) structure by confirmatory factor analysis: a contribution to validation for oncological settings
Annunziata, M. A., Muzzatti, B., & Altoè, G. (2011) · Annals of Oncology · doi:10.1093/annonc/mdq750 · Cited by 129 · see citing works
Screening for psychosocial risk in pediatric cancer
Kazak, A. E., Brier, M. J., Alderfer, M. A., Reilly, A. T., Fooks‐Parker, S., Rogerwick, S., DiTaranto, S., & Barakat, L. P. (2012) · Pediatric Blood & Cancer · doi:10.1002/pbc.24166 · Cited by 126 · see citing works
The validity of the distress thermometer in prostate cancer populations
Chambers, S. K., Zajdlewicz, L., Youlden, D. R., Holland, J. C., & Dunn, J. C. (2013) · Psycho-Oncology · doi:10.1002/pon.3391 · Cited by 119 · see citing works
The effect of psychological distress on health outcomes: A systematic review and meta-analysis of prospective studies
Barry, V., Stout, M. E., Lynch, M. E., Mattis, S., Tran, D. Q., Antun, A. G., Ribeiro, M. J., Stein, S. F., & Kempton, C. L. (2019) · Journal of Health Psychology · doi:10.1177/1359105319842931 · Cited by 122 · see citing works
A Pilot Randomized Controlled Trial of Brief Cognitive-Behavioral Therapy for Anxiety in Patients with Terminal Cancer
Greer, J. A., Traeger, L., Bemis, H., Solis, J., Hendriksen, E. S., Park, E. R., Pirl, W. F., Temel, J. S., Prigerson, H. G., & Safren, S. A. (2012) · The Oncologist · doi:10.1634/theoncologist.2012-0041 · Cited by 111 · see citing works
Psychological Impact of Prostate Biopsy: Physical Symptoms, Anxiety, and Depression
Wade, J., Rosario, D. J., Macefield, R. C., AVERY, K. N. L., Salter, C. E., Goodwin, M., Blazeby, J. M., Lane, J. A., Metcalfe, C. D., Neal, D. E., et al. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.45.4801 · Cited by 110 · see citing works
Meta-analysis of screening and case finding tools for depression in cancer: Evidence based recommendations for clinical practice on behalf of the Depression in Cancer Care consensus group
Mitchell, A. J., Meader, N., Davies, E., Clover, K., Carter, G. L., Loscalzo, M. J., Linden, W., Grassi, L., Johansen, C., Carlson, L. E., et al. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.12.043 · Cited by 107 · see citing works
Contributors to nonadherence and nonpersistence with endocrine therapy in breast cancer survivors recruited from an online research registry
Stanton, A. L., Petrie, K. J., & Partridge, A. H. (2014) · Breast Cancer Research and Treatment · doi:10.1007/s10549-014-2961-3 · Cited by 109 · see citing works
Provision of integrated psychosocial services for cancer survivors post-treatment
Recklitis, C. J., & Syrjala, K. L. (2016) · The Lancet Oncology · doi:10.1016/s1470-2045(16)30659-3 · Cited by 107 · see citing works
Distress, concerns and unmet needs in survivors of head and neck cancer: a cross-sectional survey
Wells, M., Cunningham, M., Lang, H., Swartzman, S., Philp, J., Taylor, L., & Thomson, J. (2015) · European Journal of Cancer Care · doi:10.1111/ecc.12370 · Cited by 106 · see citing works
Depression and Anxiety Among Patients with Cancer During COVID-19 Pandemic: A Systematic Review and Meta-analysis
Ayubi, E., Bashirian, S., & Khazaei, S. (2021) · Journal of Gastrointestinal Cancer · doi:10.1007/s12029-021-00643-9 · Cited by 112 · see citing works
Effectiveness of Two Web-Based Interventions for Chronic Cancer-Related Fatigue Compared to an Active Control Condition: Results of the “Fitter na kanker” Randomized Controlled Trial
Bruggeman-Everts, F. Z., Wolvers, M. D. J., van de Schoot, R., Vollenbroek-Hutten, M. M. R., & van der Lee, M. L. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7180 · Cited by 104 · see citing works
‘Worried to death’: the assessment and management of anxiety in patients with advanced life-limiting disease, a national survey of palliative medicine physicians
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The detection and management of emotional distress in cancer patients: the views of health‐care professionals
Absolom, K. L., Holch, P., Pini, S. A., Hill, K. M., Liu, A., Sharpe, M., Richardson, A., & Velikova, G. (2011) · Psycho-Oncology · doi:10.1002/pon.1916 · Cited by 101 · see citing works
The Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in Dutch advanced cancer patients
Warmenhoven, F. C., van Rijswijk, E., Engels, Y., Kan, C. C., Prins, J. B., van Weel, C., & Vissers, K. C. P. (2011) · Supportive Care in Cancer · doi:10.1007/s00520-010-1082-8 · Cited by 101 · see citing works
Self-Reported Physical Activity: Its Correlates and Relationship with Health-Related Quality of Life in a Large Cohort of Colorectal Cancer Survivors
Buffart, L. M., Thong, M. S. Y., Schep, G., Chinapaw, M. J. M., Brug, J., & van de Poll-Franse, L. V. (2012) · PLoS ONE · doi:10.1371/journal.pone.0036164 · Cited by 97 · see citing works
Re‐validation and screening capacity of the 6‐item version of the Cancer Worry Scale
Custers, J. A. E., Kwakkenbos, L., van de Wal, M., Prins, J. B., & Thewes, B. (2018) · Psycho-Oncology · doi:10.1002/pon.4782 · Cited by 88 · see citing works
Screening for distress, the 6th vital sign: common problems in cancer outpatients over one year in usual care: associations with marital status, sex, and age
Giese‐Davis, J., Waller, A. E., Carlson, L. E., Groff, S. L., Zhong, L., Neri, E., Bachor, S. M., Adamyk-Simpson, J., Rancourt, K. M., Dunlop, B., et al. (2012) · BMC Cancer · doi:10.1186/1471-2407-12-441 · Cited by 94 · see citing works
Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors
van Roekel, E. H., WINKLER, E. A. H., Bours, M. J. L., Lynch, B. M., Willems, P. J. B., Meijer, K., Kant, I., Beets, G. L., Sanduleanu, S., Healy, G. N., et al. (2016) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2016.06.022 · Cited by 92 · see citing works
Distress screening in oncology—evaluation of the Questionnaire on Distress in Cancer Patients—short form (QSC‐R10) in a German sample
Book, K., Marten‐Mittag, B., Henrich, G., Dinkel, A., Scheddel, P., Sehlen, S., Haimerl, W., Schulte, T., Britzelmeir, I., & Herschbach, P. (2010) · Psycho-Oncology · doi:10.1002/pon.1821 · Cited by 89 · see citing works
Agreement between a single-item measure of anxiety and depression and the Hospital Anxiety and Depression Scale: A cross-sectional study
Turon, H., Carey, M. L., Boyes, A., Hobden, B., Dilworth, S., & Sanson‐Fisher, R. (2019) · PLoS ONE · doi:10.1371/journal.pone.0210111 · Cited by 91 · see citing works
An integrative analytical framework for understanding the effects of autonomous and controlled motivation
Brunet, J., Gunnell, K. E., Gaudreau, P., & Sabiston, C. M. (2015) · Personality and Individual Differences · doi:10.1016/j.paid.2015.02.034 · Cited by 91 · see citing works
S3-Leitlinie Diagnostik und Therapie der Plattenepithelkarzinome und Adenokarzinome des Ösophagus (Langversion 1.0 – September 2015, AWMF-Registernummer: 021/023OL)
Porschen, R., Buck, A., Fischbach, W., Gockel, I., Görling, U., Grenacher, L., Hollerbach, S., Hölscher, A., Körber, J., Messmann, H., et al. (2015) · Zeitschrift für Gastroenterologie - German Journal of Gastroenterology · doi:10.1055/s-0041-107381 · Cited by 79 · see citing works
Easier Said Than Done: Keys to Successful Implementation of the Distress Assessment and Response Tool (DART) Program
Li, M., Macedo, A., Crawford, S. A., Bagha, S., Leung, Y. W., Zimmermann, C., Fitzgerald, B., Wyatt, M., Stuart-McEwan, T., & Rodin, G. (2016) · Journal of Oncology Practice · doi:10.1200/jop.2015.010066 · Cited by 90 · see citing works
Identifying Psychological Distress at Key Stages of the Cancer Illness Trajectory: A Systematic Review of Validated Self-Report Measures
Ziegler, L. E., Hill, K. M., Neilly, E., Bennett, M., Higginson, I. J., Murray, S. A., & Stark, D. (2011) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.06.024 · Cited by 87 · see citing works
Screening for psychosocial distress among patients with cancer: implications for clinical practice, healthcare policy, and dissemination to enhance cancer survivorship
Ehlers, S. L., Davis, K., Bluethmann, S. M., Quintiliani, L. M., Kendall, J., Ratwani, R. M., Diefenbach, M. A., & Graves, K. D. (2019) · Translational Behavioral Medicine · doi:10.1093/tbm/iby123 · Cited by 96 · see citing works
Bright light therapy improves cancer-related fatigue in cancer survivors: a randomized controlled trial
Johnson, J. A., Garland, S. N., Carlson, L. E., Savard, J., Simpson, J. S., Ancoli‐Israel, S., & Campbell, T. S. (2017) · Journal of Cancer Survivorship · doi:10.1007/s11764-017-0659-3 · Cited by 85 · see citing works
Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research (Preprint)
Matis, J., Svetlak, M., Slezackova, A., Svoboda, M., & Šumec, R. (2020) · doi:10.2196/preprints.20709 · Cited by 81 · see citing works
Screening for psychological distress in cancer: renewing the research agenda
Salmon, P., Clark, L., McGrath, E., & Fisher, P. (2014) · Psycho-Oncology · doi:10.1002/pon.3640 · Cited by 79 · see citing works
Do patients trust their physician? The role of attachment style in the patient-physician relationship within one year after a cancer diagnosis
Holwerda, N., Sanderman, R., Pool, G., Hinnen, C., Langendijk, J. A., Bemelman, W. A., Hagedoorn, M., & Sprangers, M. A. G. (2012) · Acta Oncologica · doi:10.3109/0284186x.2012.689856 · Cited by 79 · see citing works
Screening for depression and anxiety in women with breast and gynaecologic cancer: course and prevalence of morbidity over 12 months
Stafford, L., Judd, F. K., Gibson, P., Komiti, A., Mann, G. B., & Quinn, M. A. (2013) · Psycho-Oncology · doi:10.1002/pon.3253 · Cited by 77 · see citing works
Prospective associations of depression with survival: a population-based cohort study in patients with newly diagnosed breast cancer
Vodermaier, A., Linden, W., Rnic, K., Young, S., Ng, A., Ditsch, N. C., & Olson, R. A. (2013) · Breast Cancer Research and Treatment · doi:10.1007/s10549-013-2795-4 · Cited by 73 · see citing works
Metabolic, nutritional and endocrine studies of the hereditary obesity-diabetes syndrome of mice and mechanism of its development.
Mayer, J., RUSSELL, R. E., Bates, M. W., & Dickie, M. M. (1953) · PubMed · Cited by 74 · see citing works
Physical Symptom Burden and Its Association With Distress, Anxiety, and Depression in Breast Cancer
McFarland, D. C., Shaffer, K. M., Tiersten, A., & Holland, J. C. (2018) · Psychosomatics · doi:10.1016/j.psym.2018.01.005 · Cited by 73 · see citing works
Global, regional, and national prevalence of depression among cancer patients
Mejareh, Z. N., Abdollahi, B., Hoseinipalangi, Z., Jeze, M. S., Hosseinifard, H., Rafiei, S., Aghajani, F., Dehnad, A., Ardakani, M. F., Ahmadi, S., et al. (2021) · Indian Journal of Psychiatry · doi:10.4103/indianjpsychiatry.indianjpsychiatry_77_21 · Cited by 72 · see citing works
Which symptoms are indicative of DSMIV depression in cancer settings? An analysis of the diagnostic significance of somatic and non-somatic symptoms
Mitchell, A. J., Lord, K., & Symonds, P. R. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.11.009 · Cited by 72 · see citing works
Consolidation and prediction of long-term treatment effect of group and online mindfulness-based cognitive therapy for distressed cancer patients.
Cillessen, L., Schellekens, M. P. J., Van de Ven, M. O. M., Donders, A. R. T., Compen, F. R., Bisseling, E. M., Van der Lee, M. L., & Speckens, A. E. M. (2018) · Acta Oncologica · doi:10.1080/0284186x.2018.1479071 · Cited by 66 · see citing works
“The HADS has adequate psychometric properties to detect distress in cancer patients and is a suitable screening instrument for psychiatric disorders in this group [37,38].”
Method
Distress and Patient-Centered Communication among Veterans with Incidental (Not Screen-Detected) Pulmonary Nodules. A Cohort Study
Slatore, C. G., Golden, S. E., Ganzini, L. K., Wiener, R. S., & Au, D. H. (2014) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201406-283oc · Cited by 71 · see citing works
Mediators of physical exercise for improvement in cancer survivors' quality of life
Buffart, L. M., Ros, W. J. G., Chinapaw, M. J. M., Brug, J., Knol, D. L., Korstjens, I., van Weert, E., Mesters, I., van den Borne, B. H. P., Hoekstra‐Weebers, J. E. H. M., et al. (2013) · Psycho-Oncology · doi:10.1002/pon.3428 · Cited by 70 · see citing works
Problems in Cross-Cultural Use of the Hospital Anxiety and Depression Scale: “No Butterflies in the Desert”
Maters, G. A., Sanderman, R., Kim, A. Y., & Coyne, J. C. (2013) · PLoS ONE · doi:10.1371/journal.pone.0070975 · Cited by 72 · see citing works
Screening for major depressive disorder in adults with cerebral glioma: an initial validation of 3 self-report instruments
Rooney, A. G., McNamara, S., Mackinnon, M., Fraser, M., Rampling, R., Carson, A. J., & Grant, R. (2012) · Neuro-Oncology · doi:10.1093/neuonc/nos282 · Cited by 70 · see citing works
Interventions to improve screening and appropriate referral of patients with cancer for psychosocial distress: systematic review
McCarter, K. L., Britton, B., Baker, A., Halpin, S. A., Beck, A. K., Carter, G. L., WRATTEN, C. R., Bauer, J. D., Forbes, E., Booth, D., et al. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-017959 · Cited by 69 · see citing works
School students with chronic illness have unmet academic, social, and emotional school needs.
Lum, A., Wakefield, C. E., Donnan, B., Burns, M. A., Fardell, J. E., Jaffe, A., Kasparian, N. A., Kennedy, S. E., Leach, S. T., Lemberg, D. A., et al. (2019) · School Psychology · doi:10.1037/spq0000311 · Cited by 69 · see citing works
Referral patterns and psychosocial distress in cancer patients accessing a psycho‐oncology counseling service
Nekolaichuk, C., Cumming, C. E., Turner, J., Yushchyshyn, A., & Sela, R. A. (2010) · Psycho-Oncology · doi:10.1002/pon.1765 · Cited by 68 · see citing works
Patient-reported depression measures in cancer: a meta-review
Wakefield, C. E., Butow, P. N., Aaronson, N. K., Hack, T. F., Hulbert-Williams, N., & Jacobsen, P. B. (2015) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00168-6 · Cited by 66 · see citing works
Psychosocial predictors of health outcomes in colorectal cancer: A comprehensive review
Sales, P. M. G., Carvalho, A. F., McIntyre, R. S., Pavlidis, N. A., & Hyphantis, T. N. (2014) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2014.03.001 · Cited by 66 · see citing works
Measuring psychosocial functioning in the radiation oncology clinic: a systematic review: Radiation therapy psychosocial functioning
Hess, C. B., & Chen, A. M. (2014) · Psycho-Oncology · doi:10.1002/pon.3521 · Cited by 63 · see citing works
A comprehensive examination of mental health in patients with head and neck cancer: systematic review and meta-analysis
Jiménez-Labaig, P., Aymerich, C., Braña, I., Rullan, A., Cacicedo, J., Torres, M. Á. G., Harrington, K. J., & Catalán, A. (2024) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkae031 · Cited by 67 · see citing works
Sensitivity and specificity of the Distress Thermometer and a two‐item depression screen (Patient Health Questionnaire‐2) with a ‘help’ question for psychological distress and psychiatric morbidity in patients with advanced cancer
Ryan, D. A., Gallagher, P., Wright, S., & Cassidy, E. M. (2012) · Psycho-Oncology · doi:10.1002/pon.2042 · Cited by 62 · see citing works
Psychological Adjustment in Breast Cancer Survivors
Stanton, A. L., & Bower, J. E. (2015) · Advances in experimental medicine and biology · doi:10.1007/978-3-319-16366-6_15 · Cited by 63 · see citing works
Anxiety and depression among haematological cancer patients attending treatment centres: Prevalence and predictors
Clinton‐McHarg, T., Carey, M. L., Sanson‐Fisher, R., Tzelepis, F., Bryant, J., & Williamson, A. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.04.072 · Cited by 62 · see citing works
Nutritional status, acute phase response and depression in metastatic lung cancer patients: correlations and association prognosis
Giannousi, Z., Gioulbasanis, I., Pallis, A. G., Xyrafas, A., Daliani, D., Kalbakis, K., Papadopoulos, V. G., Mavroudis, D., Georgoulias, V., & Papandreou, C. N. (2011) · Supportive Care in Cancer · doi:10.1007/s00520-011-1282-x · Cited by 62 · see citing works
Do cancer and treatment type affect distress?
Admiraal, J. M., Reyners, A. K. L., & Hoekstra‐Weebers, J. E. H. M. (2012) · Psycho-Oncology · doi:10.1002/pon.3211 · Cited by 63 · see citing works
Factors associated with anxiety and depression in cancer patients prior to initiating adjuvant therapy
Jiménez‐Fonseca, P., Calderón, C., Hernández, R., y Cajal, T. R., Mut, M., Ramchandani, A., Donnay, O., & Carmona‐Bayonas, A. (2018) · Clinical & Translational Oncology · doi:10.1007/s12094-018-1873-9 · Cited by 62 · see citing works
Measuring Preoperative Anxiety in Patients With Intracranial Tumors
Goebel, S., Kaup, L., & Mehdorn, H. M. (2011) · Journal of Neurosurgical Anesthesiology · doi:10.1097/ana.0b013e318222b787 · Cited by 61 · see citing works
Circadian disruption and cancer- and treatment-related symptoms
Amidi, A., & Wu, L. M. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.1009064 · Cited by 63 · see citing works
Multiple Group Confirmatory Factor Analysis of the DASS-21 Depression and Anxiety Scales: How Do They Perform in a Cancer Sample?
Fox, R. S., Lillis, T. A., Gerhart, J. I., Hoerger, M. P., & Duberstein, P. R. (2017) · Psychological Reports · doi:10.1177/0033294117727747 · Cited by 60 · see citing works
Assessment of the Hospital Anxiety and Depression Scale for cancer patients
Villoria, E., & Lara, L. (2018) · Revista médica de Chile · doi:10.4067/s0034-98872018000300300 · Cited by 61 · see citing works
Heath-related quality of life in Spanish breast cancer patients: a systematic review
Delgado‐Sanz, C., García-Mendizábal, M. J., Pollán, M., Forjaz, M. J., López‐Abente, G., Aragonés, N., & Pérez‐Gómez, B. (2011) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-9-3 · Cited by 59 · see citing works
Distress, quality of life, neuroticism and psychological coping are related in head and neck cancer patients during follow-up
Aarstad, A. K. H., Beisland, E., Osthus, A. A., & Aarstad, H. J. (2011) · Acta Oncologica · doi:10.3109/0284186x.2010.504227 · Cited by 58 · see citing works
The next generation of the supportive care needs survey: a brief screening tool for administration in the clinical oncology setting
Girgis, A., Stojanovski, E., Boyes, A., King, M. T., & Lecathelinais, C. (2011) · Psycho-Oncology · doi:10.1002/pon.1973 · Cited by 58 · see citing works
Routine screening for suicidal intention in patients with cancer
Leung, Y. W., Li, M., Devins, G. M., Zimmermann, C., Rydall, A. C., Lo, C., & Rodin, G. (2013) · Psycho-Oncology · doi:10.1002/pon.3319 · Cited by 58 · see citing works
Factors associated with emotional distress in newly diagnosed prostate cancer patients
Orom, H., Nelson, C. J., Underwood, W., Homish, D. L., & Kapoor, D. A. (2015) · Psycho-Oncology · doi:10.1002/pon.3751 · Cited by 57 · see citing works
Use of the Distress Thermometer to discern clinically relevant quality of life differences in women with breast cancer
Head, B. A., Schapmire, T. J., Keeney, C. E., Deck, S. M., Studts, J. L., Hermann, C. P., Scharfenberger, J. A., & Pfeifer, M. (2011) · Quality of Life Research · doi:10.1007/s11136-011-9934-3 · Cited by 57 · see citing works
Coping Strategies of Southern Italian Women Predict Distress Following Breast Cancer Surgery
Feudis, R. L. D., Lanciano, T., & Rinaldi, S. (2015) · Europe’s Journal of Psychology · doi:10.5964/ejop.v11i2.908 · Cited by 56 · see citing works
S3-Leitlinie – Diagnostik und Therapie der Plattenepithelkarzinome und Adenokarzinome des Ösophagus
Porschen, R., Fischbach, W., Gockel, I., Hollerbach, S., Hölscher, A., Jansen, P., Miehlke, S., Pech, O., Stahl, M., Thuss-Patience, P., et al. (2019) · Zeitschrift für Gastroenterologie - German Journal of Gastroenterology · doi:10.1055/a-0833-5712 · Cited by 88 · see citing works
Psychosocial Distress in Patients with Thyroid Cancer
Buchmann, L. O., Ashby, S., Cannon, R. B., & Hunt, J. P. (2015) · Otolaryngology · doi:10.1177/0194599814565761 · Cited by 56 · see citing works
Unmet needs and distress in people with inoperable lung cancer at the commencement of treatment
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Health-related quality of life in well-differentiated metastatic gastroenteropancreatic neuroendocrine tumors
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REVIEW Screening for Emotional Distress in Cancer Patients: A Systematic Review of Assessment Instruments
Vodermaier, A., Linden, W., & Siu, C. (2013)
Response: Re: Screening for Emotional Distress in Cancer Patients: A Systematic Review of Assessment Instruments
Vodermaier, A., Linden, W., & Siu, C. (2010) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djq048 · Cited by 1 · see citing works
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Re: Screening for Emotional Distress in Cancer Patients: A Systematic Review of Assessment Instruments
Garssen, B., & van der Lee, M. L. (2010) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djq047 · Cited by 16 · see citing works
Screening for Distress and Depression in Cancer Patients: Is Ultrashort Depression Screening a Valid Measure in the UK? A Prospective Validation Study
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Authors: Vodermaier, A., Linden, W., & Siu, C.
Affiliations: BC Cancer Agency (CA)
Corresponding author: Vodermaier, A.
ORCID: Vodermaier, A.
Linden, W.
Venue: JNCI Journal of the National Cancer Institute
Publisher: Oxford University Press (OUP)
Published: 2009-10-13
Volume: 101
Issue: 21
Pages: 1464-1488
ISSN: 0027-8874 (ISSN-L)
1460-2105
DOI: 10.1093/jnci/djp336
PMC: PMC3298956
OpenAlex: W1996766132
Cited by: 541
References: 160
Citations by year: 2026: 12 · 2025: 16 · 2024: 30 · 2023: 20 · 2022: 27 · 2021: 34 · 2020: 24 · 2019: 32 · 2018: 49 · 2017: 28 · 2016: 32 · 2015: 42 · 2014: 38 · 2013: 52 · 2012: 48
FWCI: 2.98
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: JNCI Journal of the National Cancer Institute (publishedVersion)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: Canadian Institutes of Health Research (#AQC83559)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: emotional distress screening, cancer patients, psychometric properties, depression screening, anxiety screening, screening tool, scale validation, CES-D, Hospital Anxiety and Depression Scale, Beck Depression Inventory, Rotterdam Symptom Checklist, palliative care, sensitivity and specificity
MeSH terms: Adjustment Disorders, Anxiety Disorders, Depression, Depressive Disorder, Major, Major Depressive Disorder, Humans, Mass Screening, Neoplasms, Psychometrics, Surveys and Questionnaires, Stress, Psychological, Reproducibility of Results, Dysthymic Disorder

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Screening for emotional distress in cancer patients: a systematic review of assessment instruments

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