Screening for Psychologic Distress in Taiwanese Cancer Inpatients Using the National Comprehensive Cancer Network Distress Thermometer: The Effects of Patients’ Sex and Chemotherapy Experience

Chiou, Yu‐Jie; Lee, Chun-Yi; Li, Shau-Hsuan; Chong, Mian‐Yoon; Yu, Liang; Wang, Liang‐Jen

doi:10.1016/j.psym.2017.03.016

Cited by 8 publications

(15 citation statements)

References 40 publications

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“…This result was exactly in line with the current NCCN guidelines [ 5 ] and confirmed by other existing studies from different cultural backgrounds performed in Saudi Arabia [ 29 ], Korea [ 2 ], Italy [ 6 ], America [ 7 ], and China [ 19 , 21 ]. Our result is also consistent with a study conducted in different clinical settings such as inpatient [ 24 ], outpatient [ 6 , 7 ], and inpatient and outpatient combined [ 29 ] in heterogeneous and homogeneous cancer types [ 8 , 9 , 29 ]. Collectively, it is possible to infer that the cutoff score may not be influenced by geography, cultural issues, and screening settings but may depend on the disease “cancer” itself.…”

Section: Discussionsupporting

confidence: 92%

“…To date, most of the Mainland Chinese studies only measured the accuracy of DT against specific cancer types. Available studies ( Table 1 ) are limited by clinical settings (inpatient) and insufficient study population that may not effectively represent the overall cancer population [ 12 , 20 – 24 ]. This raises the question as to whether one comprehensive optimal cutoff score to distinguish PD in general cancer patients regardless of the clinical setting (inpatient and outpatient) and cancer types is needed.…”

Section: Introductionmentioning

confidence: 99%

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Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

Thapa

Sun

Pokhrel

et al. 2020

Journal of Oncology

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Objective. We aimed to examine the performance of the distress thermometer (DT) and identify the prevalence and risk factors associated with psychological distress (PD) in heterogeneous cancer patients. Methods. This cross-sectional study enrolled 1496 heterogeneous cancer patients from the inpatient and outpatient departments. Receiver operating characteristic analysis (ROC) of DT was evaluated against the Hospital Anxiety and Depression Scale-Total (HADS-T ≥15). An area under the curve (AUC), sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and clinical utility index were calculated. Multiple binary logistic regression was used to identify the factors associated with PD. Results. Referring to ROC analysis, DT showed good discriminating accuracy (AUC = 0.88). A cutoff score of 4 was established, and it yielded sensitivity (0.81), specificity (0.88), PPV (0.87), NPV (0.82), and clinical utility indexes (screening utility = 0.71 and case-finding utility = 0.73). 46.5% of our participants was distressed. Lower education levels (odd ratio (OR) = 1.39), advanced stage (OR = 1.85), active disease status (OR = 1.82), lack of exercise (OR = 3.03), diagnosis known (OR = 0.64), emotional problems (OR = 3.54), and physical problems (OR = 8.62) were the predictive factors for PD. Conclusion. DT with a cutoff score (≥4) is a comprehensive, appropriate, and practical initial screener for PD in cancer patients. Predicting factors should be considered together for effective management of PD in such population.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

Thapa

Sun

Pokhrel

et al. 2020

Journal of Oncology

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“…Indonesian patients also reported more problems in most of the PL domains. These ndings correspond with previous ndings 15,16 . Such differences may result from more needs going unmet as has been found…”

Section: Discussionsupporting

confidence: 93%

“…The National Cancer Comprehensive Network (NCCN) 14 Distress Thermometer (DT) may be an ideal tool to address this. It has also been translated with acceptable psychometric properties into several common languages, spoken in both developed countries, such using Mandarin (Taiwan), and developing countries, such as Bahasa (Indonesia) 15,16 .…”

Section: Introductionmentioning

confidence: 99%

Psychological distress and problem list among patients with advanced cancer: A comparative study of Indonesia and Taiwan

Huda¹,

Shaw²,

Lin³

et al. 2021

Preprint

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Background We assumed that patients in a country with lower economic development will have more psychological distress and problems than an economically stronger country. Therefore, the aims of this study were to determine whether advanced cancer patients in Indonesia have more psychological distress and experience more problems contributing to distress than a similar group of patients in Taiwan. We also examined the determinants of psychological distress. Methods We conducted a secondary data analysis comparing the data from 286 Indonesian and 70 Taiwanese participants, focusing on distress score and the Problem List (PL) of the Distress Thermometer. Descriptive analysis, Chi-Square test, independent t-test, One-way Anova and multiple linear regression with enter method were applied to analyse the data. Results Overall, more Indonesian respondents experienced distress and had more problems across all PL domains than Taiwanese participants. Being an early adult, having problems with childcare, housing and transportation were associated with higher distress while a higher depression score and having stage 4 cancer demonstrated lower distress among Indonesians. For Taiwanese respondents, appearance, bathing/dressing and pain determined psychological distress. Conclusions Differences in the healthcare system, economic level, culture, gender and age influenced the problems experienced by patients. Finding from our comparative study provide important insight into understanding distress and PL among ACPs in economically advanced countries compared with economically weak countries. Future collaboration to deliver interventions considering cultural and healthcare system differences between two countries should be developed

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“…The current findings demonstrate the need for psychological and social support, not only for oncological patients [30,31,32,33,34], but also people suffering from COPD or other pneumonological morbidities [35]. The DT is a highly useful screening tool, but it is not a stand-alone diagnostic test.…”

Section: Discussionmentioning

confidence: 79%

The relationship between COPD Assessment Test (CAT) scores and Distress Thermometer (DT) results in COPD patients

Makuch¹,

Milanowska²,

Michnar³

et al. 2020

Ann Agric Environ Med.

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Introduction. Chronic Obstructive Pulmonary Disease (COPD) is a condition that affects over 2 million adults in Poland. In recent years, increasing attention has been focused on improving the quality of life of patients with COPD, which includes alleviating their physical discomfort and relates to their mental health. It is therefore critically important to evaluate research tools that can accurately assess the relationship between the physical and mental health of patients with this disease. Objective. This aim of the study is to evaluate the relationship between the COPD Assessment Test (CAT) and the Distress Thermometer and Problem List results in COPD patients. Materials and Method. The research evaluated 70 patients with COPD as defined by the Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) criteria. Demographic data was obtained at baseline. Disease-specific quality of life was assessed using the CAT score, while overall distress was determined using the Distress Thermometer (DT) scale and a modified Problem List. The relationship between the CAT scores and the results of the Distress Thermometer and Problem List was statistically compared. The study was approved by the Bioethics Committee, and all patients provided written informed consent. Results. The mean ± SD age was 69.6±9.05 (range 47-90) years. The average distress level was 4.09±1.95. A significant relationship was established between the CAT score and the results of the Distress Thermometer Scale (p<0.001); patients with higher CAT scores showed the highest level of distress. Conclusions. CAT was shown to be a simple, fast and clear measurement of disease-specific quality of life and was correlated with levels of distress in patients with COPD. Every patient with COPD should be evaluated using a scale such as the DT to measure their level of psychological distress.

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Screening for Psychologic Distress in Taiwanese Cancer Inpatients Using the National Comprehensive Cancer Network Distress Thermometer: The Effects of Patients’ Sex and Chemotherapy Experience

Cited by 8 publications

References 40 publications

Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

Psychological distress and problem list among patients with advanced cancer: A comparative study of Indonesia and Taiwan

The relationship between COPD Assessment Test (CAT) scores and Distress Thermometer (DT) results in COPD patients

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