{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:18:47Z","timestamp":1781237927401,"version":"3.54.1"},"reference-count":53,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,2,1]],"date-time":"2011-02-01T00:00:00Z","timestamp":1296518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Family caregivers of allogeneic hematopoietic stem cell transplant (HSCT) patients are at risk for experiencing significant psychological distress yet screening caregivers has not been well studied.<\/jats:p><jats:p><jats:italic>Objective<\/jats:italic>: This analysis explored the psychometric characteristics of the Distress Thermometer (DT) by examining its relationship, sensitivity, and specificity relative to the Brief Symptom Inventory 18 (BSI\u201018) and the Multidimensional Fatigue Symptom Inventory (MFSI) in a sample of allogeneic HSCT caregivers and patients.<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: Longitudinal data were drawn from an ongoing intervention study for HSCT caregivers and patients. Data from one hundred and fifty\u2010six English\u2010speaking adults where patients (<jats:italic>n<\/jats:italic> = 65) were receiving their first allogeneic HSCT with at least one adult caregiver (<jats:italic>n<\/jats:italic> = 91) were eligible for this analysis. Study questionnaires were administered at baseline, initial discharge, and 6 weeks following discharge.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: Construct validity was supported by significant relationships (<jats:italic>p<\/jats:italic>&lt;0.001) between the DT and the BSI\u201018 GSI and the MFSI\u2010Emotional subscales for caregivers and patients. The diagnostic utility of the DT for patients was good (AUC = 0.85\u00b10.05, <jats:italic>p<\/jats:italic> = 0.001), while for caregivers it was poor (AUC = 0.61\u00b10.08, <jats:italic>p<\/jats:italic> = 0.28). A DT cut point of 5 was supported for patients (sensitivity = 1.0, specificity = 0.68), while for caregivers there was less confidence (sensitivity = 0.70, specificity = 0.52). Caregivers and patients reporting a higher number of problems had a greater level of distress (<jats:italic>p<\/jats:italic>&lt;0.001).<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: These findings support the validity of the DT in screening for distress in HSCT caregivers and patients. Although the diagnostic utility of the DT for HSCT caregivers may be limited, understanding factors associated with distress can guide practice for this understudied population. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1906","type":"journal-article","created":{"date-parts":[[2011,2,2]],"date-time":"2011-02-02T03:25:16Z","timestamp":1296617116000},"page":"615-622","source":"Crossref","is-referenced-by-count":62,"title":["Distress screening in allogeneic hematopoietic stem cell (HSCT) caregivers and patients"],"prefix":"10.1002","volume":"20","author":[{"given":"Margaret","family":"Bevans","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Wehrlen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olena","family":"Prachenko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Soeken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Zabora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwenyth R.","family":"Wallen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,2]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1701443"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1703059"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.633"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-200006000-00006"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19850101)55:1<72::AID-CNCR2820550112>3.0.CO;2-S"},{"key":"e_1_2_7_7_2","first-page":"279","article-title":"Prostate cancer: perspectives on quality of life and impact of treatment on patients and their partners","volume":"23","author":"Crowe H","year":"2003","journal-title":"Urologic Nursing: Official Journal of the American Urological Association Allied"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.04.018"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097\u20100142(19940601)73:11<2791"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0277\u20109536(94)00249\u2010S"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2004.03.020"},{"key":"e_1_2_7_12_2","first-page":"26","article-title":"Building a foundation of trust. 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