EL TERMÓMETRO DEL DISTRÉS COMO PRUEBA DE CRIBADO DE ANSIEDAD Y DEPRESIÓN EN PACIENTES ONCOLÓGICOS RECIÉN DIAGNOSTICADOS.

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Bibliographic Details
Title:	EL TERMÓMETRO DEL DISTRÉS COMO PRUEBA DE CRIBADO DE ANSIEDAD Y DEPRESIÓN EN PACIENTES ONCOLÓGICOS RECIÉN DIAGNOSTICADOS.
Authors:	Priede, Amador^1,2,3 amadorpriede@gmail.com, Torres, María Ruiz¹, Hoyuela, Fernando¹, Herrán, Andrés^1,4, González-Blanch, César^1,4
Source:	Psicooncologia. 2014, Vol. 11 Issue 1, p31-43. 13p.
Subjects:	ANXIETY diagnosis, DIAGNOSIS of mental depression, PSYCHOLOGICAL stress, CANCER patients, CHI-squared test, INTERVIEWING, RESEARCH methodology, MEDICAL screening, RESEARCH methodology evaluation, DESCRIPTIVE statistics, DIAGNOSIS
Geographic Terms:	SPAIN
Abstract (English):	Objective: The Distress Thermometer (DT) is one of the most used and studied screening tests of psychological distress in cancer patients. However, it includes many false positives. Furthermore, it has not been adequately studied with Spanish populations or with recently diagnosed patients. This research examines the diagnostic performance of the DT with a sample of Spanish recently diagnosed cancer patients. Method: The diagnostic performance of DT was assessed in a sample of 135 recently diagnosed cancer patients using the Hospital Anxiety and Depression Scale (HADS) and a semi-structured diagnostic interview as gold standard. Results: The diagnostic performance of DT was acceptable (AUC=0.79) to detect psychological distress using the HADS as gold standard. The optimal cut-off score was 4 (Sensitivity=0.89; Specificity=0.56). The diagnostic performance of DT using the HADS plus the diagnostic interview as gold standard was good (AUC=0.86).The optimal cut-off score was 6 (sensitivity=0.82; Specificity=0.76). Discussion: The DT is an appropriate screening test to detect anxiety and depressive disorders in recently diagnosed cancer patients. Increasing the cut-off score up to 6 points boosts its specificity, proving to be more useful for the detection of clinically significant distress. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo: El Termómetro del Distrés (TD) es una de las pruebas de cribado de malestar emocional más utilizadas y estudiadas en pacientes oncológicos. Sin embargo, genera numerosos falsos positivos. Además, aún no ha sido convenientemente estudiado con población española, ni en muestras de pacientes recién diagnosticados. El presente estudio analiza el rendimiento diagnóstico del TD en una muestra española de pacientes oncológicos recién diagnosticados. Método: Se evaluó el rendimiento diagnóstico del TD en una muestra de 135 pacientes con diagnóstico oncológico empleando como pruebas de referencia la Escala de Ansiedad y Depresión Hospitalaria (HADS) y una entrevista diagnóstica semiestructurada. Resultados: El TD mostró un rendimiento diagnóstico aceptable (Área Bajo la Curva, ABC=0,79) para detectar malestar emocional usando la HADS como referencia. El punto de corte óptimo fue de 4 puntos (Sensibili-dad=0,89; Especificidad=0,56). El rendimiento diagnóstico del TD empleando la combinación de la entrevista clínica y la HADS como referencia fue bueno (ABC=0,86). El punto de corte óptimo fue de 6 puntos (Sensibilidad=0,82; Especificidad=0,76). Conclusiones: El TD constituye una prueba de cribado adecuada para detectar trastornos ansiosos y depresivos en pacientes recién diagnosticados de cáncer. Incrementar el punto de corte a 6 supone un incremento en su especificidad, resultando más útil para la detección del malestar emocional con significación clínica. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective: The Distress Thermometer (DT) is one of the most used and studied screening tests of psychological distress in cancer patients. However, it includes many false positives. Furthermore, it has not been adequately studied with Spanish populations or with recently diagnosed patients. This research examines the diagnostic performance of the DT with a sample of Spanish recently diagnosed cancer patients. Method: The diagnostic performance of DT was assessed in a sample of 135 recently diagnosed cancer patients using the Hospital Anxiety and Depression Scale (HADS) and a semi-structured diagnostic interview as gold standard. Results: The diagnostic performance of DT was acceptable (AUC=0.79) to detect psychological distress using the HADS as gold standard. The optimal cut-off score was 4 (Sensitivity=0.89; Specificity=0.56). The diagnostic performance of DT using the HADS plus the diagnostic interview as gold standard was good (AUC=0.86).The optimal cut-off score was 6 (sensitivity=0.82; Specificity=0.76). Discussion: The DT is an appropriate screening test to detect anxiety and depressive disorders in recently diagnosed cancer patients. Increasing the cut-off score up to 6 points boosts its specificity, proving to be more useful for the detection of clinically significant distress. [ABSTRACT FROM AUTHOR]
ISSN:	16967240
DOI:	10.5209/rev_PSIC.2014.v11.n1.44915