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 |
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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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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.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/j.jpainsymman.2004.04.016</identifier><identifier>PMID: 15652442</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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. 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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.</description><subject>Adaptation, Psychological</subject><subject>adjustment disorders</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>cancer</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>major depression</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasms - psychology</subject><subject>Pharmacology. Drug treatments</subject><subject>Reproducibility of Results</subject><subject>Screening</subject><subject>suicidal ideation</subject><subject>Suicide</subject><subject>Surveys and Questionnaires - standards</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctuFDEQRVsIRIbALyCzgN1M_OrHLNGER6RIbMLa8thlxq223bg8Qfkyfg93ZqTADqlkS_ape0t1m-YdoxtGWXc1bsZZ-4gPIei44ZTKzVKse9as2NCLddcy8bxZ0WFo12LL5UXzCnGklLaiEy-bC9Z2LZeSr5rf13APU5oDxEKSIzqSmzBrU8jdAXJIAQpk4lImRwTiIzEp7H3UxadIfvlyIOUA5NpjyYD4T5NGosk-e3AETQaIPv4gJaXpUU7b8Yjl0dZ6TNlCrny0V_Uv6LGeFuZFczFafHU0VXSuzrUHXzcvnJ4Q3pzvy-b75093u6_r229fbnYfb9dGtl1ZW7vdWs4d33ZG9oaLtj4PYLQGKQbYD1RLJ3i7l4Otl3BcO9syCk60bJC9uGw-nHTnnH4eAYsKHg1Mk46Qjqi6XvSMS1HB7Qk0OSFmcGrOPuj8oBhVS2pqVH-lppbU1FKsq71vzybHfQD71HmOqQLvz4BGoyeX6zI8PnGd7OvQC7c7cVBXcu8hKzR1XQasz2CKssn_xzh_AMBawLY</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>Akizuki, Nobuya</creator><creator>Yamawaki, Shigeto</creator><creator>Akechi, Tatsuo</creator><creator>Nakano, Tomohito</creator><creator>Uchitomi, Yosuke</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2005</creationdate><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</title><author>Akizuki, Nobuya ; Yamawaki, Shigeto ; Akechi, Tatsuo ; Nakano, Tomohito ; Uchitomi, Yosuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-dd99d22f296c47c2354568ecaae438eb80a4f325b48d3253f2afd510ef3518473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adaptation, Psychological</topic><topic>adjustment disorders</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>cancer</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>major depression</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasms - psychology</topic><topic>Pharmacology. Drug treatments</topic><topic>Reproducibility of Results</topic><topic>Screening</topic><topic>suicidal ideation</topic><topic>Suicide</topic><topic>Surveys and Questionnaires - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akizuki, Nobuya</creatorcontrib><creatorcontrib>Yamawaki, Shigeto</creatorcontrib><creatorcontrib>Akechi, Tatsuo</creatorcontrib><creatorcontrib>Nakano, Tomohito</creatorcontrib><creatorcontrib>Uchitomi, Yosuke</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akizuki, Nobuya</au><au>Yamawaki, Shigeto</au><au>Akechi, Tatsuo</au><au>Nakano, Tomohito</au><au>Uchitomi, Yosuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2005</date><risdate>2005</risdate><volume>29</volume><issue>1</issue><spage>91</spage><epage>99</epage><pages>91-99</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>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. 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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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