1. High level of distress in long-term survivors of thyroid carcinoma: Results of rapid screening using the distress thermometer
- Author
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Mischa De Ridder, Judith B. Prins, Ad R. M. M. Hermus, Nike M. M. L. Stikkelbroeck, H. Repping-Wuts, Hans J. H. De Wilt, Henri J L M Timmers, Romana T. Netea-Maier, Sean H. P. P. Roerink, Angelique Huijbers, and Henri A. M. Marres
- Subjects
Male ,Problem list ,DCN PAC - Perception action and control ,Anxiety ,Hospital Anxiety and Depression Scale ,Surveys and Questionnaires ,Outpatient clinic ,Survivors ,Young adult ,Referral and Consultation ,Fatigue ,Netherlands ,Aged, 80 and over ,Medical record ,Hematology ,General Medicine ,Middle Aged ,Infection and autoimmunity Auto-immunity, transplantation and immunotherapy [NCMLS 1] ,Psychological determinants of chronic illness Quality of Care [NCEBP 8] ,Distress ,Oncology ,Educational Status ,Female ,Adult ,Employment ,Sleep Wake Disorders ,medicine.medical_specialty ,Context (language use) ,Quality of Care [ONCOL 4] ,Young Adult ,Translational research [ONCOL 3] ,Internal medicine ,medicine ,Humans ,Hormonal regulation Translational research [IGMD 6] ,Radiology, Nuclear Medicine and imaging ,Muscle Strength ,Paresthesia ,Thyroid Neoplasms ,Molecular gastro-enterology and hepatology [IGMD 2] ,Aged ,Psychiatric Status Rating Scales ,Receiver operating characteristic ,business.industry ,Body Weight ,Carcinoma ,Hormonal regulation [IGMD 6] ,ROC Curve ,Physical therapy ,business ,Stress, Psychological - Abstract
Item does not contain fulltext CONTEXT: Cancer patients are at increased risk for distress. The Distress Thermometer (DT) and problem list (PL) are short-tools validated and recommended for distress screening in cancer patients. OBJECTIVE: To investigate the level of distress and problems experienced by survivors of differentiated non-medullary thyroid carcinoma (DTC), using the DT and PL and whether this correlates with clinical and demographical variables. PARTICIPANTS, DESIGN AND SETTING: All 205 DTC patients, under follow-up at the outpatient clinic of our university hospital, were asked to fill in the DT and PL, hospital anxiety and depression scale (HADS), illness cognition questionnaire (ICQ) and an ad hoc questionnaire. Receiver Operator Characteristic analysis (ROC) was used to establish the optimal DT cut-off score according to HADS. Correlations of questionnaires scores with data on diagnosis, treatment and follow-up collected from medical records were analyzed. RESULTS: Of the 159 respondents, 145 agreed to participate [118 in remission, median follow-up 7.2 years (range 3 months-41 years)]. Of these, 34.3% rated their distress score >/=5, indicating clinically relevant distress according to ROC analysis. Patients reported physical (86%) over emotional problems (76%) as sources of distress. DT scores correlated with HADS scores and ICQ subscales. No significant correlations were found between DT scores and clinical or demographical characteristics except for employment status. CONCLUSION: Prevalence of distress is high among patients with DTC even after long-term remission and cannot be predicted by clinical and demographical characteristics. DT and PL are useful screening instruments for distress in DTC patients and could easily be incorporated into daily practice.
- Published
- 2012