{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T16:33:23Z","timestamp":1791650003249,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2003,4,30]],"date-time":"2003-04-30T00:00:00Z","timestamp":1051660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2003,5,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Adjustment disorders and major depression are common psychiatric disorders in patients with cancer and have a serious impact on quality of life. The problem in clinical oncology settings is underrecognition of these disorders; as a result, screening is recommended to detect them. The goal of the current study was to develop a new, brief screening tool for adjustment disorders and major depression and to compare its performance with that of existing screening methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Patients with cancer completed the newly developed One\u2010Question Interview (a 1\u2010item, structured interview); the Distress Thermometer (a 1\u2010item, self\u2010report questionnaire), which previously was developed as a brief screening tool; and the Hospital Anxiety and Depression Scale (HADS; a 14\u2010item, self\u2010report questionnaire). Psychiatric diagnoses of adjustment disorders and major depression were made by psychiatrists and were based on criteria set forth by the <jats:italic>Diagnostic and Statistical Manual of Mental Disorders, 4th edition<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Two hundred seventy\u2010five patients participated in the study. Scores on both the One\u2010Question Interview and the Distress Thermometer were significantly correlated with HADS score (One\u2010Question Interview: <jats:italic>r<\/jats:italic> = \u22120.66, <jats:italic>P<\/jats:italic> &lt; 0.01; Distress Thermometer: <jats:italic>r<\/jats:italic> = 0.71, <jats:italic>P<\/jats:italic> &lt; 0.01). At the optimal cutoff points, the sensitivity and specificity for detection of adjustment disorders and major depression were 80% and 61%, respectively, for the One\u2010Question Interview; 84% and 61%, respectively, for the Distress Thermometer; and 92% and 57%, respectively, for the HADS.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The results of the current study suggested that the One\u2010Question Interview was a valid tool for use in screening patients with cancer for adjustment disorders and major depression. Its performance was inferior to that of the HADS but comparable to that of the Distress Thermometer. The One\u2010Question Interview may be suitable for widespread use in routine screening. Cancer 2003;10:2605\u201313. \u00a9 2003 American Cancer Society.<\/jats:p><jats:p>DOI 10.1002\/cncr.11358<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.11358","type":"journal-article","created":{"date-parts":[[2003,4,30]],"date-time":"2003-04-30T22:01:10Z","timestamp":1051740070000},"page":"2605-2613","source":"Crossref","is-referenced-by-count":148,"title":["Development of a brief screening interview for adjustment disorders and major depression in patients with 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