Distress Thermometer: proposal for cutoff points and evaluation of factors related to post-surgical distress in breast cancer patients.

IF 1.9 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2026-01-01 Epub Date: 2025-12-01 DOI:10.1080/07347332.2025.2593635

Elizabeth Masotti, Eduardo Remor, Andrea Pires Souto Damin

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引用次数: 0

Abstract

Objectives: The study aims to evaluate distress levels and concerns, assess the effectiveness of the Distress Thermometer in screening for psychological distress in patients undergoing mastectomy or conservative surgery, and propose an appropriate cutoff point for this population.

Methods: Cross-sectional study evaluating 236 women who had surgery within the last 36 months. An interview protocol gathered sociodemographic and clinical data, the Distress Thermometer (DT, version 2.2022), and the Hospital Anxiety and Depression Scale (HADS).

Results: Distress levels had a mean of 5.4 (SD 2.7). Anchored by HADS-T, this study proposes "6" as the cutoff point for the Distress Thermometer (sensitivity: 0.80, specificity: 0.72, Youden coefficient: 0.52) when evaluating Brazilian women with breast cancer. 45.76% (n = 108) of participants scored above the new cutoff point (≥6). The main concerns were emotional (worry and anxiety, 89%) and practical (caring for others, 73.3%).

Conclusions: DT effectively screens for psychological distress in Brazil, aiding in the diagnosis and referral of patients for appropriate follow-up.

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焦虑温度计：提出乳腺癌患者术后焦虑的分界点和相关因素的评估。

目的：本研究旨在评估焦虑水平和担忧，评估焦虑温度计在筛查乳房切除术或保守手术患者心理困扰方面的有效性，并为这一人群提出一个适当的截止点。方法：对236例在过去36个月内接受过手术的妇女进行横断面研究。访谈方案收集了社会人口学和临床数据、痛苦温度计（DT， 2.2022版）和医院焦虑和抑郁量表（HADS）。结果：抑郁水平平均为5.4 （SD 2.7）。在HADS-T的基础上，本研究提出“6”作为痛苦温度计（敏感度：0.80，特异性：0.72，约登系数：0.52）评估巴西乳腺癌妇女的截止点。45.76% （n = 108）的参与者得分高于新的分界点（≥6）。主要的担忧是情绪（担心和焦虑，89%）和实际（关心他人，73.3%）。结论：在巴西，DT有效地筛查了心理困扰，有助于患者的诊断和转诊进行适当的随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.