Self‐reported distress and problems after treatment for gynecological cancer – Correlation between a short screening tool and longer measures of anxiety/depression and health‐related quality of life
Abstract Introduction The National Comprehensive Cancer Network (NCCN) distress thermometer and problem list (DTPL) is a brief self‐report screening measure for use in follow‐up cancer care. The aims of this study were to explore the correlations between scores on the DTPL and scores on longer measu...
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| Format: | Article |
| Language: | English |
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Wiley
2024-02-01
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| Series: | Acta Obstetricia et Gynecologica Scandinavica |
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| Online Access: | https://doi.org/10.1111/aogs.14709 |
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| author | Tone Skaali Rune Blomhoff Kristina Lindemann Sigbjørn Smeland Kjersti Bruheim Mette Seland Lene Thorsen |
| author_facet | Tone Skaali Rune Blomhoff Kristina Lindemann Sigbjørn Smeland Kjersti Bruheim Mette Seland Lene Thorsen |
| author_sort | Tone Skaali |
| collection | DOAJ |
| description | Abstract Introduction The National Comprehensive Cancer Network (NCCN) distress thermometer and problem list (DTPL) is a brief self‐report screening measure for use in follow‐up cancer care. The aims of this study were to explore the correlations between scores on the DTPL and scores on longer measures of anxiety/depression and health‐related quality of life among women treated for gynecological cancer, and to define a cutoff score on the DT representing high levels of psychological distress in this patient group. Material and methods During outpatient visits, 144 women filled in the DTPL, the Hospital Anxiety and Depression Scale (HADS) and the RAND‐36‐Item Short Form Health Survey (RAND‐36) between October 2019 and March 2020. We assessed the agreement between the DT‐scores and the HADS scores, explored variables associated with high levels of distress on the DT, and studied the associations between DTPL‐scores and scores of health‐related quality of life (HRQoL) from RAND‐36. Results In receiver operating characteristic curve analysis between the distress score from the DT and a HADS total score ≥15 (defining high levels of anxiety/depression symptoms), the area under the curve was 0.81 (95% CI: 0.74–0.89). Using a cutoff of ≥5 on the DT (scale 0–10), we found a balanced level of sensitivity (81%) and specificity (71%) towards a HADS total score of ≥15. The scores of distress and problems reported on the DTPL correlated significantly with the majority of HRQoL function scales from RAND‐36. Conclusions The NCCN DTPL can be used as a screening measure for self‐reported distress and problems after treatment for gynecological cancer. A score of ≥5 on DT may indicate high level of anxiety/depression as measured by HADS. The tool may help identify patients in need of referral to supportive care and rehabilitation facilities. |
| format | Article |
| id | doaj-art-7a0f892061244e7b815e4563fcf7f7ec |
| institution | Kabale University |
| issn | 0001-6349 1600-0412 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acta Obstetricia et Gynecologica Scandinavica |
| spelling | doaj-art-7a0f892061244e7b815e4563fcf7f7ec2025-08-20T03:30:56ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04122024-02-01103238739510.1111/aogs.14709Self‐reported distress and problems after treatment for gynecological cancer – Correlation between a short screening tool and longer measures of anxiety/depression and health‐related quality of lifeTone Skaali0Rune Blomhoff1Kristina Lindemann2Sigbjørn Smeland3Kjersti Bruheim4Mette Seland5Lene Thorsen6Department of Clinical Service, Division of Cancer Medicine Oslo University Hospital Oslo NorwayDepartment of Clinical Service, Division of Cancer Medicine Oslo University Hospital Oslo NorwayDepartment of Gynecologic Cancer, Division of Cancer Medicine Oslo University Hospital Oslo NorwayInstitute of Clinical Medicine, Faculty of Medicine University of Oslo Oslo NorwayDepartment of Oncology, Division of Cancer Medicine Oslo University Hospital Oslo NorwayDepartment of Clinical Service, Division of Cancer Medicine Oslo University Hospital Oslo NorwayDepartment of Clinical Service, Division of Cancer Medicine Oslo University Hospital Oslo NorwayAbstract Introduction The National Comprehensive Cancer Network (NCCN) distress thermometer and problem list (DTPL) is a brief self‐report screening measure for use in follow‐up cancer care. The aims of this study were to explore the correlations between scores on the DTPL and scores on longer measures of anxiety/depression and health‐related quality of life among women treated for gynecological cancer, and to define a cutoff score on the DT representing high levels of psychological distress in this patient group. Material and methods During outpatient visits, 144 women filled in the DTPL, the Hospital Anxiety and Depression Scale (HADS) and the RAND‐36‐Item Short Form Health Survey (RAND‐36) between October 2019 and March 2020. We assessed the agreement between the DT‐scores and the HADS scores, explored variables associated with high levels of distress on the DT, and studied the associations between DTPL‐scores and scores of health‐related quality of life (HRQoL) from RAND‐36. Results In receiver operating characteristic curve analysis between the distress score from the DT and a HADS total score ≥15 (defining high levels of anxiety/depression symptoms), the area under the curve was 0.81 (95% CI: 0.74–0.89). Using a cutoff of ≥5 on the DT (scale 0–10), we found a balanced level of sensitivity (81%) and specificity (71%) towards a HADS total score of ≥15. The scores of distress and problems reported on the DTPL correlated significantly with the majority of HRQoL function scales from RAND‐36. Conclusions The NCCN DTPL can be used as a screening measure for self‐reported distress and problems after treatment for gynecological cancer. A score of ≥5 on DT may indicate high level of anxiety/depression as measured by HADS. The tool may help identify patients in need of referral to supportive care and rehabilitation facilities.https://doi.org/10.1111/aogs.14709distress thermometer aftercaregynecological neoplasmshealth‐related quality of lifepsychological distresspsychometrics |
| spellingShingle | Tone Skaali Rune Blomhoff Kristina Lindemann Sigbjørn Smeland Kjersti Bruheim Mette Seland Lene Thorsen Self‐reported distress and problems after treatment for gynecological cancer – Correlation between a short screening tool and longer measures of anxiety/depression and health‐related quality of life Acta Obstetricia et Gynecologica Scandinavica distress thermometer aftercare gynecological neoplasms health‐related quality of life psychological distress psychometrics |
| title | Self‐reported distress and problems after treatment for gynecological cancer – Correlation between a short screening tool and longer measures of anxiety/depression and health‐related quality of life |
| title_full | Self‐reported distress and problems after treatment for gynecological cancer – Correlation between a short screening tool and longer measures of anxiety/depression and health‐related quality of life |
| title_fullStr | Self‐reported distress and problems after treatment for gynecological cancer – Correlation between a short screening tool and longer measures of anxiety/depression and health‐related quality of life |
| title_full_unstemmed | Self‐reported distress and problems after treatment for gynecological cancer – Correlation between a short screening tool and longer measures of anxiety/depression and health‐related quality of life |
| title_short | Self‐reported distress and problems after treatment for gynecological cancer – Correlation between a short screening tool and longer measures of anxiety/depression and health‐related quality of life |
| title_sort | self reported distress and problems after treatment for gynecological cancer correlation between a short screening tool and longer measures of anxiety depression and health related quality of life |
| topic | distress thermometer aftercare gynecological neoplasms health‐related quality of life psychological distress psychometrics |
| url | https://doi.org/10.1111/aogs.14709 |
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