Development of an Impact Thermometer for use in combination with the Distress Thermometer as a brief screening tool for adjustment disorders and/or major depression in cancer patients

Screening cancer patients for adjustment disorders and major depression is important, because both are prevalent and often underrecognized. The purpose of this study was to validate the Distress and Impact Thermometer, a 2-item questionnaire, which we newly developed as a brief screening tool for de...

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Veröffentlicht in:Journal of pain and symptom management 2005, Vol.29 (1), p.91-99
Hauptverfasser: Akizuki, Nobuya, Yamawaki, Shigeto, Akechi, Tatsuo, Nakano, Tomohito, Uchitomi, Yosuke
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container_end_page 99
container_issue 1
container_start_page 91
container_title Journal of pain and symptom management
container_volume 29
creator Akizuki, Nobuya
Yamawaki, Shigeto
Akechi, Tatsuo
Nakano, Tomohito
Uchitomi, Yosuke
description Screening cancer patients for adjustment disorders and major depression is important, because both are prevalent and often underrecognized. The purpose of this study was to validate the Distress and Impact Thermometer, a 2-item questionnaire, which we newly developed as a brief screening tool for detection of adjustment disorders and/or major depression. Two hundred ninety-five cancer patients completed the Distress and Impact Thermometer and the Hospital Anxiety and Depression Scale (HADS), and were examined by psychiatrists based on DSM-IV criteria. Using cutoff points for detection of adjustment disorders and major depression of “3/4” on “distress” score and “2/3” on “impact,” the sensitivity and specificity were 0.82 and 0.82, respectively. Screening performance of the Distress and Impact Thermometer was comparable to that of the Hospital Anxiety and Depression Scale. Its brevity and good performance suggest that the Distress and Impact Thermometer is an effective tool for routine screening in clinical oncology settings.
doi_str_mv 10.1016/j.jpainsymman.2004.04.016
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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals
subjects Adaptation, Psychological
adjustment disorders
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
cancer
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - psychology
Female
Humans
major depression
Male
Medical sciences
Middle Aged
Neoplasms - psychology
Pharmacology. Drug treatments
Reproducibility of Results
Screening
suicidal ideation
Suicide
Surveys and Questionnaires - standards
title Development of an Impact Thermometer for use in combination with the Distress Thermometer as a brief screening tool for adjustment disorders and/or major depression in cancer patients
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