{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:33:32Z","timestamp":1760132012743},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2004,3,1]],"date-time":"2004-03-01T00:00:00Z","timestamp":1078099200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:p><jats:italic>Objective:<\/jats:italic> Screening for adjustment disorder (AD) in cancer \npatients presents a significant clinical challenge. As seen in Part I \nof this research, conventional, existing measures are rather poor at \ndetecting this most common of psychiatric diagnoses. Bone marrow \ntransplantation (BMT) has a high level of morbidity that can cause \nsignificant stress for patients faced with the procedure.<\/jats:p><jats:p><jats:italic>Methods:<\/jats:italic> A sample of 95 BMT patients completed a \nsemistructured interview and a novel self-report instrument, the Coping \nFlexibility Scale for Cancer (C-Flex), to determine if it could \nidentify patients with adjustment disorder in need of further \nassessment and intervention.<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> The screen yielded four factors but was not \npredictive of AD. However, the C-Flex was significantly related to the \npresence of any disorder (<jats:italic>r<\/jats:italic> = \u22120.44, <jats:italic>p<\/jats:italic> &lt; \n0.001) in this sample. In addition, Factor I of the screen was found to \nbe correlated to the presence of any diagnosis (<jats:italic>r<\/jats:italic> = \n\u22120.44, <jats:italic>p<\/jats:italic> &lt; 0.001) and to have adequate sensitivity \n(81.63%) and specificity (76.09%).<\/jats:p><jats:p><jats:italic>Significance of results:<\/jats:italic> Either because of problems with the \nscale or the amorphous nature of the AD category, or both, rapid \nidentification of patients with this common problem has proven to be \nelusive.<\/jats:p>","DOI":"10.1017\/s1478951504040052","type":"journal-article","created":{"date-parts":[[2008,4,21]],"date-time":"2008-04-21T11:35:36Z","timestamp":1208777736000},"page":"33-41","source":"Crossref","is-referenced-by-count":8,"title":["Difficulties in screening for adjustment disorder, Part II: An \nattempt to develop a novel self-report screening instrument in cancer \npatients undergoing bone marrow transplantation"],"prefix":"10.1017","volume":"2","author":[{"given":"KENNETH L.","family":"KIRSH","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JOHN H.","family":"McGREW","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"STEVEN D.","family":"PASSIK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2004,3,1]]},"reference":[{"key":"S1478951504040052_ref008","doi-asserted-by":"crossref","unstructured":"Derogatis, L. , Morrow, G. , & Fetting, J. (1983).The prevalence of psychiatric disorders among cancer patients.JAMA,249,751\u2013757.","DOI":"10.1001\/jama.1983.03330300035030"},{"key":"S1478951504040052_ref023","unstructured":"Steinberg, M. (1994).Interviewer's Guide to the Structured Clinical Interview forDSM-IV Dissociative Disorders (SCID-D).Washington, DC:American Psychiatric Press, Inc."},{"key":"S1478951504040052_ref030","unstructured":"Zabora, J. (1998).Screening procedures for psychosocial distress. InPsycho-oncology, Holland, J. (ed.), pp.653\u2013661.New York:Oxford University Press."},{"key":"S1478951504040052_ref021","unstructured":"Sifneos, P. (1989).Brief dynamic and crisis therapy. InComprehensive Textbook of Psychiatry,5th ed., Kaplan, H. & Sadock, B. (eds.).vol. 2, pp.1562\u20131567.Baltimore:Williams & Wilkins."},{"key":"S1478951504040052_ref029","doi-asserted-by":"crossref","unstructured":"Yellen, S. , Cella, D. , Webster, & K. , et al .(1997).Measuring fatigue and other anemia-related symptoms with thefunctional assessment of cancer therapy (FACT-G) measurementsystem.Journal of Pain and Symptom Management,13,63\u201374.","DOI":"10.1016\/S0885-3924(96)00274-6"},{"key":"S1478951504040052_ref014","unstructured":"Nunnally, J.C. (1978).Psychometric Theory,2nd ed. New York:McGraw-Hill."},{"key":"S1478951504040052_ref010","doi-asserted-by":"crossref","unstructured":"Gabrys, J. & Peters, K. (1985).Reliability, discriminant and predictive validity of the ZungSelf-Rating Depression Scale.Psychology Reports,57,1091\u20131096.","DOI":"10.2466\/pr0.1985.57.3f.1091"},{"key":"S1478951504040052_ref025","doi-asserted-by":"crossref","unstructured":"Tate, D. , Forchheimer, M. , Maynard, & F. , et al .(1993).Comparing two measures of depression in spinal cord injury.Rehabilitation Psychology,38,53\u201361.","DOI":"10.1037\/h0080287"},{"key":"S1478951504040052_ref020","doi-asserted-by":"crossref","unstructured":"Segal, D. , Hersen, M. , & Van Hasselt, V. (1994).Reliability of the structured clinical interview for DSM-III-R: Anevaluative review.Comprehensive Psychiatry,35,316\u2013327.","DOI":"10.1016\/0010-440X(94)90025-6"},{"key":"S1478951504040052_ref001","unstructured":"American Psychiatric Association .(1994).Diagnostic and Statistical Manual of Mental Disorders(4th ed.).Washington, DC:Author."},{"key":"S1478951504040052_ref003","doi-asserted-by":"crossref","unstructured":"Brady, M. , Cella, D. , Mo, & F. , et al .(1997).Reliability and validity of the functional assessment of cancertherapy breast quality of life instrument.Journal of Clinical Oncology,15,974\u2013986.","DOI":"10.1200\/JCO.1997.15.3.974"},{"key":"S1478951504040052_ref026","unstructured":"Wheaton, B. (1985).Personal resources and mental health: Can there be too much of agood thing? Research Communications in Mental Health,5,139\u2013184."},{"key":"S1478951504040052_ref015","unstructured":"Pedhazur, E. & Schmelkin, L. (1991).Measurement, Design, and Analysis: An Integrated Approach.Hillsdale, NJ:Lawrence Earlbaum Associates."},{"key":"S1478951504040052_ref024","unstructured":"Strain, J. (1998).Adjustment disorders. InPsycho-oncology, Holland, J. (ed.), pp.509\u2013517.New York:Oxford University Press."},{"key":"S1478951504040052_ref016","unstructured":"Perry, D. (2000).Appraising controllability and problem solving training withhomeless children.Doctoral dissertation.Case Western Reserve University,Cleveland, OH,Dissertation Abstracts International, 60, no. 09B (1999): p.4902."},{"key":"S1478951504040052_ref002","unstructured":"American Society of Psychosocial and BehavioralOncology\/AIDS .(1999).Standards of Care for the Management of Distress in Patients withCancer.New York:Author."},{"key":"S1478951504040052_ref004","doi-asserted-by":"crossref","unstructured":"Brystritsky, A. , Linn, L. , & Ware, J. (1990).Development of a multidimensional scale of anxiety.Journal of Anxiety Disorders,4,99\u2013115.","DOI":"10.1016\/0887-6185(90)90002-Q"},{"key":"S1478951504040052_ref019","doi-asserted-by":"crossref","unstructured":"Rogers, S. & LeUnes, A. (1979).A psychometric and behavioral comparison of delinquents who wereabused as children with their non-abused peers.Journal of Clinical Psychology,35,470\u2013472.","DOI":"10.1002\/1097-4679(197904)35:2<470::AID-JCLP2270350251>3.0.CO;2-F"},{"key":"S1478951504040052_ref017","doi-asserted-by":"crossref","unstructured":"Pollin, I. & Holland, J. (1992).A model for counseling the medically ill: The Linda PollinFoundation Approach.General Hospital Psychiatry,14,11\u201324.","DOI":"10.1016\/0163-8343(92)90108-M"},{"key":"S1478951504040052_ref022","doi-asserted-by":"crossref","unstructured":"Skre, I. , Onstad, S. , Torgersen, & S. , et al .(1991).High interrater reliability for the structured clinical interviewfor DSM-III-R axis I (SCID-I).Acta Psychiatrica Scandinavica,84,167\u2013173.","DOI":"10.1111\/j.1600-0447.1991.tb03123.x"},{"key":"S1478951504040052_ref007","doi-asserted-by":"crossref","unstructured":"Cella, D. , Tulsky, D. , Gray, & G. , et al .(1993).The functional assessment of cancer therapy scale: Development andvalidation.Journal of Clinical Oncology,11,570\u2013579.","DOI":"10.1200\/JCO.1993.11.3.570"},{"key":"S1478951504040052_ref018","doi-asserted-by":"crossref","unstructured":"Razavi, D. , Delvaux, N. , & Farvacques, C. (1990).Screening for adjustment disorders and major depressive disordersin cancer patients.British Journal of Psychology,156,79\u201383.","DOI":"10.1192\/bjp.156.1.79"},{"key":"S1478951504040052_ref012","doi-asserted-by":"crossref","unstructured":"Lee, R. (1983).Returning to work: Potential problems for mid-career mothers.Journal of Sex and Marital Therapy,9,219\u2013232.","DOI":"10.1080\/00926238308405850"},{"key":"S1478951504040052_ref006","doi-asserted-by":"crossref","unstructured":"Cella, D. , Bonomi, A. , Lloyd, & S. , et al .(1995).Reliability and validity of the functional assessment of cancertherapy-lung (FACT-L) quality of life instrument.Lung Cancer,12,199\u2013220.","DOI":"10.1016\/0169-5002(95)00450-F"},{"key":"S1478951504040052_ref013","doi-asserted-by":"crossref","unstructured":"Maddock, R. , Carter, C. , Tavano-Hall, & L. , et al .(1998).Hypocapnia associated with cardiac stress scintigraphy in chestpain patients with panic disorder.Psychosomatic Medicine,60,52\u201355.","DOI":"10.1097\/00006842-199801000-00013"},{"key":"S1478951504040052_ref009","doi-asserted-by":"crossref","unstructured":"Dugan, W. , McDonald, M. , Passik, & S. , et al .(1998).Use of the Zung Self-Rating Depression Scale in cancer patients:Feasibility as a screening tool.Psycho-Oncology,7,483\u2013493.","DOI":"10.1002\/(SICI)1099-1611(199811\/12)7:6<483::AID-PON326>3.0.CO;2-M"},{"key":"S1478951504040052_ref005","doi-asserted-by":"crossref","unstructured":"Carson, D. , Council, J. , & Volk, M. (1989).Temperament as a predictor of psychological adjustment in femaleadult incest victims.Journal of Clinical Psychology,45,330\u2013335.","DOI":"10.1002\/1097-4679(198903)45:2<330::AID-JCLP2270450223>3.0.CO;2-F"},{"key":"S1478951504040052_ref027","doi-asserted-by":"crossref","unstructured":"Winstead-Fry, P. & Schultz, A. (1997).Psychometric analysis of the functional assessment of cancertherapy-general (FACT-G) scale in a rural sample.Cancer,79,2446\u20132452.","DOI":"10.1002\/(SICI)1097-0142(19970615)79:12<2446::AID-CNCR23>3.0.CO;2-Q"},{"key":"S1478951504040052_ref033","doi-asserted-by":"crossref","unstructured":"Zung, W. (1971).A rating instrument for anxiety disorders.Psychosomatics,12,371\u2013379.","DOI":"10.1016\/S0033-3182(71)71479-0"},{"key":"S1478951504040052_ref031","doi-asserted-by":"crossref","unstructured":"Zung, W. (1967a).Depression in the normal aged.Psychosomatics,7,287\u2013292.","DOI":"10.1016\/S0033-3182(67)71945-3"},{"key":"S1478951504040052_ref032","doi-asserted-by":"crossref","unstructured":"Zung, W. (1967b).Factors influencing the self-rating depression scale.Archives of General Psychiatry,16,543\u2013547.","DOI":"10.1001\/archpsyc.1967.01730230027003"},{"key":"S1478951504040052_ref011","unstructured":"Katon, W. & Sullivan, M. (1990).Depression and chronic medical illness.Journal of Clinical Psychology,51,3\u201311."},{"key":"S1478951504040052_ref028","unstructured":"Wise, M. (1994).Adjustment disorders and impulse disorders not otherwiseclassified. InThe American Psychiatric Press Textbook of Psychiatry,2nd ed., Talbot, J. , Hales, R. & Yudofsky, S. (eds.), pp.460\u2013484.Washington DC:American Psychiatric Press."}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951504040052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,7]],"date-time":"2019-04-07T16:03:52Z","timestamp":1554653032000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951504040052\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,3]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2004,3]]}},"alternative-id":["S1478951504040052"],"URL":"https:\/\/doi.org\/10.1017\/s1478951504040052","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,3]]}}}