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dc.date.accessioned2024-01-29T18:11:11Z
dc.date.available2024-01-29T18:11:11Z
dc.date.created2023-12-02T16:52:48Z
dc.date.issued2023
dc.identifier.citationSkaali, Tone Margrethe Olsbu Blomhoff, Rune Lindemann, Kristina Yvonne Kathe Smeland, Sigbjørn Bruheim, Kjersti Selland, Mette Thorsen, Lene . 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. 2023
dc.identifier.urihttp://hdl.handle.net/10852/107228
dc.description.abstractAbstract 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.
dc.languageEN
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.titleSelf-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
dc.title.alternativeENEngelskEnglishSelf-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
dc.typeJournal article
dc.creator.authorSkaali, Tone Margrethe Olsbu
dc.creator.authorBlomhoff, Rune
dc.creator.authorLindemann, Kristina Yvonne Kathe
dc.creator.authorSmeland, Sigbjørn
dc.creator.authorBruheim, Kjersti
dc.creator.authorSelland, Mette
dc.creator.authorThorsen, Lene
cristin.unitcode185,51,14,0
cristin.unitnameAvdeling for atferdsmedisin
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.cristin2207794
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Acta Obstetricia et Gynecologica Scandinavica&rft.volume=&rft.spage=&rft.date=2023
dc.identifier.jtitleActa Obstetricia et Gynecologica Scandinavica
dc.identifier.volume103
dc.identifier.issue2
dc.identifier.startpage387
dc.identifier.endpage395
dc.identifier.pagecount0
dc.identifier.doihttps://doi.org/10.1111/aogs.14709
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn0001-6349
dc.type.versionPublishedVersion


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