PMID- 24468423
OWN - NLM
STAT- MEDLINE
DCOM- 20141014
LR  - 20211203
IS  - 1478-9523 (Electronic)
IS  - 1478-9515 (Linking)
VI  - 12
IP  - 1
DP  - 2014 Feb
TI  - Comparing the distress thermometer (DT) with the patient health questionnaire 
      (PHQ)-2 for screening for possible cases of depression among patients newly 
      diagnosed with advanced cancer.
PG  - 63-8
LID - 10.1017/S1478951513000394 [doi]
AB  - OBJECTIVE: Distress screening guidelines call for rapid screening for emotional 
      distress at the time of cancer diagnosis. The purpose of this study was to 
      examine the distress thermometer's (DT) ability to screen in patients in 
      treatment for advanced cancer who may be depressed. METHODS: Using 
      cross-sectional data collected from patients within 30 days of diagnosis with 
      advanced cancer, this study used ROC analysis to determine the optimal-cutoff 
      point of the distress thermometer (DT) for screening for depression as measured 
      by the physician health questionnaire (PHQ)-9; inter-test reliability analysis to 
      compare the DT with the PHQ-2 for screening in possible cases of depression, and 
      multivariate analysis to examine associations among the DT emotional problem list 
      (EPL) items with cases of depression. RESULTS: The average age of the 123 
      patients in the study was 59.9 (12.9) years. Seventy (56.9%) were female. All had 
      Stage 3 or 4 cancers (40% gastrointestinal, 19% gynecologic, 20% head and neck, 
      21% lung). The mean DT score was 4 (2.7)/10; and 56 (43%) were depressed as 
      measured by the PHQ-9 >/= 5. The optimal DT cut-off score to screen in possible 
      cases of depression was >/= 2/10, with a sensitivity of .96, compared to a 
      sensitivity of .32 of the PHQ-2 >/= 2. Correlation coefficients for the DT >/= 2 and 
      the PHQ-2 with the PHQ-9 >/= 5 were 0.4 and -0.2, respectively. EPL items 
      associated with cases of depression were Depression (OR = 0.15, 0.02-0.85) and 
      Sadness (OR = 0.21, 0.06-0.72). SIGNIFICANCE OF RESULTS: The optimal DT threshold 
      for identifying possible cases of depression at the time of diagnosis is >/= 2; 
      this threshold is more sensitive than the PHQ-2 >/= 2. EPL items may be used with 
      the DT score to triage patients for evaluation.
FAU - Lazenby, Mark
AU  - Lazenby M
AD  - Yale University School of Nursing, New Haven, Connecticut.
FAU - Dixon, Jane
AU  - Dixon J
AD  - Yale University School of Nursing, New Haven, Connecticut.
FAU - Bai, Mei
AU  - Bai M
AD  - Yale University School of Nursing, New Haven, Connecticut.
FAU - McCorkle, Ruth
AU  - McCorkle R
AD  - Yale University School of Nursing, New Haven, Connecticut.
LA  - eng
GR  - R01NR011872/NR/NINR NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
PL  - England
TA  - Palliat Support Care
JT  - Palliative & supportive care
JID - 101232529
SB  - IM
MH  - Adaptation, Psychological
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anxiety Disorders/*diagnosis/*nursing/psychology
MH  - Connecticut
MH  - Cross-Sectional Studies
MH  - Depressive Disorder/*diagnosis/*nursing/psychology
MH  - Female
MH  - Guideline Adherence
MH  - *Hospice and Palliative Care Nursing
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Mass Screening/*nursing/*statistics & numerical data
MH  - Middle Aged
MH  - Neoplasm Staging
MH  - Neoplasms/*nursing/pathology/*psychology
MH  - Nursing Assessment/*statistics & numerical data
MH  - Psychometrics/statistics & numerical data
MH  - Reproducibility of Results
MH  - *Sick Role
MH  - *Surveys and Questionnaires
MH  - Translational Research, Biomedical
EDAT- 2014/01/29 06:00
MHDA- 2014/10/15 06:00
CRDT- 2014/01/29 06:00
PHST- 2014/01/29 06:00 [entrez]
PHST- 2014/01/29 06:00 [pubmed]
PHST- 2014/10/15 06:00 [medline]
AID - S1478951513000394 [pii]
AID - 10.1017/S1478951513000394 [doi]
PST - ppublish
SO  - Palliat Support Care. 2014 Feb;12(1):63-8. doi: 10.1017/S1478951513000394.