{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:08:28Z","timestamp":1792109308931,"version":"4.4.0"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,7,10]],"date-time":"2008-07-10T00:00:00Z","timestamp":1215648000000},"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":[[2008,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND.<\/jats:title>\n                    <jats:p>The objectives of this study were to validate the Distress Thermometer (DT) in the Netherlands and to examine its correspondence with a 46\u2010item Problem List, possible risk factors, and the wish for a referral.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS.<\/jats:title>\n                    <jats:p>A cross\u2010sectional group of 277 cancer patients who were treated at 9 hospitals filled in the DT and the Hospital Anxiety and Depression Scale and rated the presence and severity of problems (response rate, 49%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS.<\/jats:title>\n                    <jats:p>Receiver operating characteristic analyses identified an ideal cutoff score of 5 on the DT with a positive predictive value of 39% and a negative predictive value of 95%. The Problem List appeared to be a reliable measure. Five items on the Problem List correlated strongly with the DT, 13 items had a moderately strong correlation, 26 items were correlated weakly, and 2 items were not correlated significantly. Emotional control, nervousness, pain, and physical fitness appeared to contribute independently to the DT score. The percentage of patients scoring \u22655 (n = 118 patients; 43%) who wanted (14%) or maybe wanted (29%) a referral was significantly higher than the percentage of patients with DT scores &lt;5 (5% and 13%, respectively) who wanted or maybe wanted a referral. Intensively treated patients reported more distress than those who only underwent surgery. No other clear risk factors for distress were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS.<\/jats:title>\n                    <jats:p>The DT appeared to be a good instrument for routine screening and ruling out elevated distress. Emotional and physical problems contributed mainly to distress. Experiencing clinically elevated distress did not necessarily suggest that patients wanted a referral. Screening for distress and the wish for a referral can facilitate providing support for those patients who most need and want it. Cancer 2008. \u00a9 2008 American Cancer Society.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.23622","type":"journal-article","created":{"date-parts":[[2008,7,10]],"date-time":"2008-07-10T09:12:21Z","timestamp":1215681141000},"page":"870-878","source":"Crossref","is-referenced-by-count":361,"title":["Screening and referral for psychosocial distress in oncologic practice"],"prefix":"10.1002","volume":"113","author":[{"given":"Marrit A.","family":"Tuinman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey M.","family":"Gazendam\u2010Donofrio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josette E.","family":"Hoekstra\u2010Weebers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,7,10]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199705000-00011"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1611(200101\/02)10:1<19::AID-PON501>3.0.CO;2-6"},{"key":"e_1_2_5_4_2","volume-title":"NPK Vision and Summary","author":"National Cancer Control Programme","year":"2004"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(03)00514-2"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1188\/06.CJON.615-619"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2007.0003"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19980515)82:10<1904::AID-CNCR13>3.0.CO;2-X"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2004.04.016"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-005-0780-0"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.796"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20940"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1059"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.993"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1703557"},{"issue":"2","key":"e_1_2_5_16_2","first-page":"S295","article-title":"Screening for psychosocial distress\u2014cross\u2010cultural issues","volume":"15","author":"Kumar TM","year":"2006","journal-title":"Psychooncology."},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1212"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-8"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.500"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjoc.2001.1724"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.812"},{"key":"e_1_2_5_22_2","unstructured":"SchrameijerF BrunebergW.Psychosociale Aorg Bij Kanker. 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