{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:04:15Z","timestamp":1782846255418,"version":"3.54.5"},"reference-count":33,"publisher":"Scientific Scholar","issue":"02","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["South Asian J Cancer"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The incidence of cancer has increased in India with a visible impact on the young population (aged 15\u201339 years). The present study aims to evaluate psychological distress among Indian adolescents and young adults (AYAs) with solid cancer using the National Comprehensive Cancer Network (NCCN) distress thermometer.<\/jats:p>\n                  <jats:p>The demographic and clinical characteristics of AYAs patients (age 15\u201339 years) with cancer were recorded. Assessment of psychological distress of patients using the NCCN distress thermometer was performed at three time points over a period of 3 months. Distress thermometer scale and a self-administered questionnaire in English and Hindi languages was handed over to participants at three time points: at treatment commencement (T1), at 1 month, and 3 months (T2 and T3, respectively) into therapy.<\/jats:p>\n                  <jats:p>Of the 259 patients, 63% were women and 37% men; the median age was 34 years. In total, 71 (27%) were \u2264 24 years old and 188 (73%) were&gt;24 years old. Bone sarcoma (39%) was common cancer in AYA patients aged \u2264 24 years and breast cancer (21%) in &gt;24 years of age. The distress scores in both the groups were the highest at diagnosis (T1) followed by that measured at 1 (T2) and 3 months (T3) after diagnosis. The distress score in the age \u2264 24 years was the highest (6.7) at T1, followed by those measured at T2 (2.6) and T3 (1.1) and among age&gt;24 years was the highest (6.6) at T1, followed by those measured at T2 (2.6) and T3 (1.2). Among AYA patients&gt;24 years old, worry, nervousness, sadness, transportation, and sleep were the top five identified problems and in \u2264 24 years old, the top identified problems were worry, financial support, sleep, nervousness, and sadness.<\/jats:p>\n                  <jats:p>Adolescents and young adults experience some level of distress associated with the cancer diagnosis, effects of the disease, treatment regardless of the stage and various transitions throughout the trajectory of the disease. The distress thermometer is an easy and useful tool for the assessment of psychological distress in AYA cancers. Early identification of distress burden with the distress thermometer leads to effective interventions in patients with cancer which could improve outcomes including survival in AYAs with cancer in India.<\/jats:p>","DOI":"10.1055\/s-0042-1756184","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T18:56:27Z","timestamp":1662144987000},"page":"157-163","source":"Crossref","is-referenced-by-count":3,"title":["Assessment of Psychological Distress Among Indian Adolescents and Young Adults with Solid Cancer Using the National Comprehensive Cancer Network Distress Thermometer"],"prefix":"10.25259","volume":"14","author":[{"given":"Shiv Prasad","family":"Shrivastava","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Elhence","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prutha","family":"Jinwala","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prakash","family":"Chitalkar","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Bhatnagar","sequence":"additional","affiliation":[{"name":"Department of Radiology, CHL Hospital, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Patidar","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Asati","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep Kumar","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"issue":"06","key":"ref1","first-page":"e12967","article-title":"Working beyond the patient and cancer for adolescents and young adults","volume":"27","author":"F EJ McDonald","year":"2018","journal-title":"Eur J Cancer Care (Engl)"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"90","DOI":"10.4103\/0971-5851.180135","article-title":"Epidemiology of cancers among adolescents and young adults from a tertiary cancer center in Delhi","volume":"37","author":"R Singh","year":"2016","journal-title":"Indian J Med Paediatr Oncol"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S1470-2045(21)00581-7","article-title":"The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"23","author":"GBD 2019 Adolescent Young Adult Cancer Collaborators","year":"2022","journal-title":"Lancet Oncol"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1188\/15.CJON.19-06AP","article-title":"Needs and lifestyle challenges of adolescents and young adults with cancer","volume":"19","author":"C L Daniel","year":"2015","journal-title":"Clin J Oncol Nurs"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"e195536","DOI":"10.1001\/jamanetworkopen.2019.5536","article-title":"Incidence, risk factors, and mortality associated with second malignant neoplasms among survivors of adolescent and young adult cancer","volume":"2","author":"C Chao","year":"2019","journal-title":"JAMA Netw Open"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1002\/cncr.29685","article-title":"Increased risk of second malignant neoplasms in adolescents and young adults with cancer","volume":"122","author":"J S Lee","year":"2016","journal-title":"Cancer"},{"issue":"14","key":"ref9","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1200\/JCO.2015.65.5845","article-title":"Cardiovascular disease risk profiles in survivors of adolescent and young adult (AYA) cancer: the Kaiser Permanente AYA Cancer Survivors Study","volume":"34","author":"C Chao","year":"2016","journal-title":"J Clin Oncol"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1089\/jayao.2017.0089","article-title":"Self-perceived physical attractiveness in relation to scars among adolescent and young adult cancer survivors: a population-based study","volume":"7","author":"M Olsson","year":"2018","journal-title":"J Adolesc Young Adult Oncol"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"314","DOI":"10.4103\/2347-5625.311005","article-title":"Prevalence and determinants of psychological distress in adolescent and young adult patients with cancer: a multicenter survey","volume":"8","author":"Y Duan","year":"2021","journal-title":"Asia Pac J Oncol Nurs"},{"issue":"20","key":"ref12","doi-asserted-by":"crossref","first-page":"5155","DOI":"10.1002\/cncr.27512","article-title":"Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult","volume":"118","author":"K M Bellizzi","year":"2012","journal-title":"Cancer"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1080\/07347332.2011.644396","article-title":"\u201cYou're too young for this\u201d: adolescent and young adults' perspectives on cancer survivorship","volume":"30","author":"E E Kent","year":"2012","journal-title":"J Psychosoc Oncol"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"3","DOI":"10.6004\/jnccn.2007.0003","article-title":"The NCCN guideline for distress management: a case for making distress the sixth vital sign","volume":"5","author":"J C Holland","year":"2007","journal-title":"J Natl Compr Canc Netw"},{"issue":"03","key":"ref15","first-page":"813","article-title":"Mental disorder screening on cancer patients before and after radiotherapy and at the 1-month follow-up","volume":"26","author":"J A Cruzado","year":"2018","journal-title":"Support Care Cancer"},{"issue":"17","key":"ref16","doi-asserted-by":"crossref","first-page":"2160","DOI":"10.1200\/JCO.2012.45.9222","article-title":"Trajectories of psychological distress in adolescent and young adult patients with cancer: a 1-year longitudinal study","volume":"31","author":"M Kwak","year":"2013","journal-title":"J Clin Oncol"},{"issue":"08","key":"ref17","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1089\/jpm.2012.0625","article-title":"Reliability and concurrent validity of the Palliative Outcome Scale, the Rotterdam Symptom Checklist, and the Brief Pain Inventory","volume":"16","author":"M Pelayo-Alvarez","year":"2013","journal-title":"J Palliat Med"},{"issue":"07","key":"ref18","first-page":"1741","article-title":"The diagnostic role of a short screening tool\u2013the distress thermometer: a meta-analysis","volume":"22","author":"X Ma","year":"2014","journal-title":"Support Care Cancer"},{"issue":"08","key":"ref19","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1038\/s41416-019-0390-0","article-title":"The impact of psychiatric utilisation prior to cancer diagnosis on survival of solid organ malignancies","volume":"120","author":"Z Klaassen","year":"2019","journal-title":"Br J Cancer"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"S30","DOI":"10.1016\/j.amepre.2017.04.023","article-title":"Mental health problems and cancer risk factors among young adults","volume":"53","author":"G M Massetti","year":"2017","journal-title":"Am J Prev Med"},{"issue":"75","key":"ref21","first-page":"75","article-title":"Unmet support service needs and health-related quality of life among adolescents and young adults with cancer: the AYA HOPE study","volume":"3","author":"A W Smith","year":"2013","journal-title":"Front Oncol"},{"issue":"13","key":"ref22","doi-asserted-by":"crossref","first-page":"1952","DOI":"10.1016\/j.ejca.2007.05.031","article-title":"Health-related quality of life, anxiety and depression among adolescents and young adults with cancer: a prospective longitudinal study","volume":"43","author":"A J\u00f6rng\u00e5rden","year":"2007","journal-title":"Eur J Cancer"},{"issue":"06","key":"ref23","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1016\/j.ejca.2010.01.021","article-title":"Aspects of quality of life, anxiety, and depression among persons diagnosed with cancer during adolescence: a long-term follow-up study","volume":"46","author":"G Larsson","year":"2010","journal-title":"Eur J Cancer"},{"issue":"05","key":"ref24","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1002\/cncr.30417","article-title":"Mental distress and health care use among survivors of adolescent and young adult cancer: a cross-sectional analysis of the National Health Interview Survey","volume":"123","author":"S Kaul","year":"2017","journal-title":"Cancer"},{"issue":"11","key":"ref25","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1002\/pon.3533","article-title":"Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis","volume":"23","author":"B J Zebrack","year":"2014","journal-title":"Psychooncology"},{"issue":"09","key":"ref26","first-page":"3257","article-title":"Assessment of psychological distress among Asian adolescents and young adults (AYA) cancer patients using the distress thermometer: a prospective, longitudinal study","volume":"26","author":"A Chan","year":"2018","journal-title":"Support Care Cancer"},{"issue":"07","key":"ref27","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1038\/s41380-019-0595-x","article-title":"Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies","volume":"25","author":"Y H Wang","year":"2020","journal-title":"Mol Psychiatry"},{"issue":"12","key":"ref28","first-page":"999","article-title":"The management of psychological issues in oncology","volume":"14","author":"D C McFarland","year":"2016","journal-title":"Clin Adv Hematol Oncol"},{"issue":"04","key":"ref29","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.ambp.2006.04.009","article-title":"Insurance coverage and financial burden for families of children with special health care needs","volume":"6","author":"A Y Chen","year":"2006","journal-title":"Ambul Pediatr"},{"issue":"12","key":"ref30","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.2217\/fon.10.142","article-title":"Impact of stress on cancer metastasis","volume":"6","author":"M Moreno-Smith","year":"2010","journal-title":"Future Oncol"},{"issue":"37","key":"ref31","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/jncimonographs\/lgm005","article-title":"Symptom burden: multiple symptoms and their impact as patient-reported outcomes","author":"C S Cleeland","year":"2007","journal-title":"J Natl Cancer Inst Monogr"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/s12955-016-0449-z","article-title":"Patient-reported pain and other quality of life domains as prognostic factors for survival in a phase III clinical trial of patients with advanced breast cancer","volume":"14","author":"E N Smyth","year":"2016","journal-title":"Health Qual Life Outcomes"},{"issue":"02","key":"ref33","first-page":"1033","article-title":"Radiation therapy for patients with bone metastasis from uterine cervical Cancer: its role and optimal radiation regimen for palliative care","volume":"38","author":"M Hata","year":"2018","journal-title":"Anticancer Res"},{"issue":"06","key":"ref34","first-page":"1709","article-title":"Symptom burden and medication use in adult sarcoma patients","volume":"23","author":"A Chan","year":"2015","journal-title":"Support Care Cancer"},{"issue":"08","key":"ref35","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1002\/pon.5456","article-title":"Self-reported cognitive outcomes among adolescent and young adult patients with noncentral nervous system cancers","volume":"29","author":"C J Tan","year":"2020","journal-title":"Psychooncology"}],"container-title":["South Asian Journal of Cancer"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1756184.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:13:02Z","timestamp":1781176382000},"score":1,"resource":{"primary":{"URL":"https:\/\/journal.sajc.org\/assessment-of-psychological-distress-among-indian-adolescents-and-young-adults-with-solid-cancer-using-the-national-comprehensive-cancer-network-distress-thermometer\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,2]]},"references-count":33,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2025,12,18]]},"published-print":{"date-parts":[[2025,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1756184","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2278-330X","2278-4306"],"issn-type":[{"value":"2278-330X","type":"print"},{"value":"2278-4306","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,2]]}}}