{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T19:51:03Z","timestamp":1790020263591,"version":"4.0.1"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,3,15]],"date-time":"2011-03-15T00:00:00Z","timestamp":1300147200000},"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><jats:italic>Purpose<\/jats:italic>: This study assesses the sensitivity and specificity of Mandarin versions of two psychosocial screening tools for adjustment, anxiety and depressive disorders: the Hospital Anxiety and Depression Scale (HADS), and the Distress Thermometer (DT).<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: The two scales were used to screen 103 consecutive cancer patients seen for psychiatric evaluation at KF\u2010SYSCC between May and November 2004 prior to their psychiatric interviews. Each scale was tested against clinical psychiatric diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition for their sensitivity and specificity.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: For the Mandarin version of the DT, receiver operating characteristic (ROC) analyses identified a DT score of 4 as the optimal cut\u2010off, with sensitivity and specificity of 98 and 73%, respectively. For the Mandarin version of the HADS, ROC identified a score of 9 and 8 as the optimal cutoffs for the respective anxiety and depression subscales (HADS\u2010a and HADS\u2010d), with sensitivities and specificities of 84 and 73, 72 and 86%, respectively. For the full scale of the HADS (HADS\u2010t), 15 was identified as the optimal cutoff, which yielded sensitivity and specificity of 84 and 68%, respectively. Using the frequency table, the concordance rate of the two scales was found to be 72\u201380% based on the above optimal cut\u2010offs.<\/jats:p><jats:p><jats:italic>Conclusion<\/jats:italic>: The Mandarin versions of the HADS and the DT are efficacious for screening anxiety and depression for our population. Compared with the HADS\u2010t, the DT appears to have not only higher sensitivity, but also higher specificity. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1952","type":"journal-article","created":{"date-parts":[[2011,3,16]],"date-time":"2011-03-16T02:19:51Z","timestamp":1300241991000},"page":"639-646","source":"Crossref","is-referenced-by-count":90,"title":["The HADS and the DT for screening psychosocial distress of cancer patients in Taiwan"],"prefix":"10.1002","volume":"20","author":[{"given":"Ging\u2010Long","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng\u2010Hui","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"An\u2010Chen","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiu\u2010Yuan","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ju\u2010Fang","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Ju","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun\u2010Chiu","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,3,15]]},"reference":[{"key":"e_1_2_6_2_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_6_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1983.03330300035030"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1611(200101\/02)10:1<19::AID-PON501>3.0.CO;2-6"},{"issue":"11","key":"e_1_2_6_5_2","first-page":"459","article-title":"Update: NCCN practice guidelines for the management of psychosocial distress","volume":"13","author":"Holland JC","year":"1999","journal-title":"Oncology"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21532"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.156.1.79"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(93)90099-A"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1023\/B:QURE.0000015292.56268.e7"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(96)00216-4"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00296-3"},{"key":"e_1_2_6_13_2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0959-8049(05)80015-2","article-title":"Screening for anxiety and depression in cancer patients: the effects of disease and treatment","volume":"30","author":"Ibbotson T","year":"1984","journal-title":"Eur J Cancer"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2004.04.016"},{"key":"e_1_2_6_15_2","first-page":"289","article-title":"A study on the standardization of the Hospital Anxiety and Depression Scale for Koreans\u2014a comparison of normal, depressed and anxious groups","volume":"38","author":"Oh SM","year":"1999","journal-title":"J Korean Neuropsychiatr Assoc"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/12.2.149"},{"key":"e_1_2_6_17_2","first-page":"29","article-title":"Evaluation of the Chinese version of the hospital anxiety and depression scale, a cross\u2010sectional perspective","volume":"40","author":"Leung CM","year":"1993","journal-title":"Int J Psychosom"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1999.tb10897.x"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.672"},{"key":"e_1_2_6_20_2","unstructured":"LinLH.Screening for depression in cancer inpatients. Master's Thesis The Graduate Institute of Nursing Science Chang Gung University Taiwan 2000."},{"key":"e_1_2_6_21_2","volume-title":"NCCN Practice Guidelines in Oncology\u2014V. I. 2003","author":"National Comprehensive Cancer Network, Inc.","year":"2003"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1703557"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.993"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2006.10.001"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22335"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20940"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.796"},{"issue":"1","key":"e_1_2_6_28_2","first-page":"S42","article-title":"Distress in cancer in\u2010patients in King Hussein Cancer Center (KHCC): a study using the Arabic\u2010modified version of the Distress Thermometer","volume":"13","author":"Khatib J","year":"2004","journal-title":"Psycho\u2010Oncology"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1059"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1275"},{"issue":"1","key":"e_1_2_6_31_2","first-page":"S49","article-title":"Feasibility study of 2 screening tools for psychosocial distress for cancer patients in Taiwan","volume":"14","author":"Wang GL","year":"2005","journal-title":"Psycho\u2010Oncology"},{"key":"e_1_2_6_32_2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_6_33_2","first-page":"28","volume-title":"Statistics with Confidence","author":"Gardner MJ","year":"1989"},{"key":"e_1_2_6_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-2496(75)90001-2"},{"key":"e_1_2_6_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-005-0780-0"},{"key":"e_1_2_6_36_2","first-page":"S16","article-title":"Psychometric properties and correlates of Distress Thermometer Scores","volume":"3","author":"Donovan KA","year":"2004","journal-title":"Psycho\u2010Oncology"},{"key":"e_1_2_6_37_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.11358"},{"key":"e_1_2_6_38_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.5.674"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpon.1952","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpon.1952","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.1952","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T16:45:43Z","timestamp":1694537143000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.1952"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3,15]]},"references-count":37,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,6]]}},"alternative-id":["10.1002\/pon.1952"],"URL":"https:\/\/doi.org\/10.1002\/pon.1952","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3,15]]}}}