{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T18:23:51Z","timestamp":1783103031723,"version":"3.54.6"},"reference-count":80,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T00:00:00Z","timestamp":1523836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007109","name":"University of Ferrara","doi-asserted-by":"publisher","award":["FAR\u20102016"],"award-info":[{"award-number":["FAR\u20102016"]}],"id":[{"id":"10.13039\/501100007109","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Given the adverse consequences of psychiatric and psychosocial morbidity on the quality of life for patients with cancer, prompt detection of psychological symptoms is mandatory. The authors examined the properties and accuracy of the Brief Symptom Inventory (the 53\u2010item version [BSI] and the 18\u2010item version [BSI\u201018]) for the detection of psychiatric morbidity compared with the World Health Organization Composite International Diagnostic Interview (CIDI) for International Classification of Diseases\u201010th Revision psychiatric diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A convenience sample of 498 patients with newly diagnosed cancer who were recruited in cancer outpatient services participated in the CIDI interview and in BSI and BSI\u201018 assessments.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The prevalence of psychiatric morbidity was 39.75%. When participants were classified as <jats:italic>cases<\/jats:italic> using the BSI standard case rule, agreement with the CIDI was potentially acceptable (sensitivity, 72.7%; specificity, 88.7%). In contrast, the accuracy of the BSI\u201018 in identifying cases was poor according to the standard case rule, with very low sensitivity (29.3%) (misclassification rate, 28.7%). By using a first alternative case\u2010rule system (a BSI\u201018 global severity index [GSI] T\u2010score \u226557), sensitivity marginally improved (45%), whereas a second alternative case\u2010rule system (a GSI T\u2010score \u226550) significantly increased sensitivity (77.3%). In receiver operating characteristic curve analysis, a further cutoff GSI T\u2010score \u226548 exhibited good discrimination levels (sensitivity, 82.3%; specificity, 72.4%). There were some differences in GSI cutoff T\u2010scores according to the International Classification of Diseases\u201010th Revision diagnosis and sex.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The BSI appeared to have acceptable diagnostic accuracy compared with a standardized psychiatric interview. For the BSI\u201018, it is mandatory to use alternative case\u2010rule systems, to identify patients with psychiatric morbidity. <jats:bold><jats:italic>Cancer<\/jats:italic> 2018;124:2415\u201026<\/jats:bold>. \u00a9 <jats:italic>2018 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.31340","type":"journal-article","created":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T12:11:36Z","timestamp":1523880696000},"page":"2415-2426","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Screening for emotional disorders in patients with cancer using the Brief Symptom Inventory (BSI) and the BSI\u201018 versus a standardized psychiatric interview (the World Health Organization Composite International Diagnostic Interview)"],"prefix":"10.1002","volume":"124","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1050-4494","authenticated-orcid":false,"given":"Luigi","family":"Grassi","sequence":"first","affiliation":[{"name":"Institute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences University of Ferrara Ferrara Italy"},{"name":"University Unit of Hospital Psychiatry S. 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