“…The optimal cut‐off score of the DT can range from 3–7, as concluded in studies of different cancer types in different countries and regions (Bulli, Miccinesi, Maruelli, Katz, & Paci, ; Deng et al., ; Dolbeault et al., ; Fang et al., ; Goebel & Mehdorn, ; Hong, ; Iskandarsyah et al., ; Ma et al., ; Martínez, Galdón, Andreu, & Ibáñez, ; Shim, Shin, Jeon, & Hahm, ; Tang et al., ; Wang et al., , ). However, most studies showed that the optimal cut‐off score is 4, which agrees well with the recommended value in NCCN's distress management Guidelines (NCCN ).…”