{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:25:04Z","timestamp":1787502304280,"version":"build-2736575974"},"reference-count":49,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951523001530_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the sensitivity and specificity of the Distress Thermometer (DT) as a screening tool for emotional distress in oncological palliative care patients and to compare the DT with the Edmonton Symptom Assessment System-revised (ESAS-r) and the gold standard to determine the most appropriate assessment method in palliative psychological care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951523001530_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from psychological screening tests (ESAS-r and DT), and clinical interviews (gold standard) were conducted by a clinical psychologist specialist in palliative oncology from January 2021 to January 2022 in an oncology palliative care service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951523001530_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample consisted of 356 first-time patients with a diagnosis of advanced cancer in palliative care. The most frequently reported oncological diagnoses were gastrointestinal tract (49.3%) and breast (18.3%). Most patients were female (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0206; 57.9%), 60.4% were married\/with a partner, 55.4% had between 6 and 9\u00a0years of schooling, and a median age of 57 (range, 46\u201365) years. The cutoff of the DT was 5, with a sensitivity of 75.88% and specificity of 54.3%. Emotional problems (sadness and nervousness) had a greater area under the curve (AUC) when measured using the DT than the ESAS-r; however, only in the case of the comparative sadness and discouragement was the difference between the AUC marginally significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951523001530_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>The use of the DT as a screening tool in oncological palliative care is more effective in the evaluation of psychological needs than the ESAS-r. The DT, in addition to evaluation by an expert psychologist, allows for a more comprehensive identification of signs and symptoms to yield an accurate mental health diagnosis based on the International Classification of Diseases-11th Revision and\/or Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951523001530","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T01:53:53Z","timestamp":1698371633000},"page":"258-264","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Assessment of emotional distress in palliative care: Edmonton Symptom Assessment System-revised (ESAS-r) vs Distress Thermometer"],"prefix":"10.1017","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5768-8761","authenticated-orcid":false,"given":"Leticia","family":"Ascencio 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Nieves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,10,27]]},"reference":[{"key":"S1478951523001530_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.370"},{"key":"S1478951523001530_ref24","doi-asserted-by":"publisher","DOI":"10.14349\/rlp.2019.v51.n1.1"},{"key":"S1478951523001530_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2143-1"},{"key":"S1478951523001530_ref45","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-017-0206-z"},{"key":"S1478951523001530_ref27","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2010.0035"},{"key":"S1478951523001530_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5032"},{"key":"S1478951523001530_ref29","unstructured":"National Comprehensive Cancer Network (NCCN) (2023a) Distress thermometer tool translations. https:\/\/www.nccn.org\/global\/what-we-do\/distress-thermometer-tool-translations 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