Can the Distress Thermometer be improved by additional mood domains? Part II. What is the optimal combination of Emotion Thermometers?
Can the Distress Thermometer be improved by additional mood domains? Part II. What is the optimal combination of Emotion Thermometers?
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DOI：
10.1002/pon.1557
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发表时间：
2010-02-01
期刊：
影响因子：
3.6
通讯作者：
Symonds, Paul
中科院分区：
文献类型：
--
作者：
Mitchell, Alex J.;Baker-Glenn, Elena A.;Symonds, Paul
目的：比较视觉模拟体温计(DT)和视觉模拟体温计(DT)在检测早期癌症患者抑郁、焦虑或痛苦时的附加值。方法：对新的五领域情绪体温计工具进行分类回归树和Logistic回归分析。这是由四个情绪域(痛苦、焦虑、抑郁、愤怒)和需要帮助的五个视觉模拟量表组成的组合。对130名首次接受化疗的患者进行了评估。结果：当试图诊断抑郁症时，单独使用抑郁温度计(DEPT)是最好的方法，但当试图检测广义的痛苦或焦虑时，温度计的组合是最准确的。DEPT在检测抑郁症方面明显比DT更准确。对于广义的痛苦，组合使用抑郁、愤怒和帮助温度计比单独使用DT更准确。对于焦虑，虽然焦虑温度计(AnxT)单独比DT更好，但DEPT和AnxT的组合是最佳的。在每种情况下，最优策略都允许检测到至少额外9%的个体。然而，组合得分更费力。在首选最简单可能选项的环境中，最准确的单一体温计可能是首选的第一阶段评估。结论：通过结合抑郁、焦虑、愤怒和帮助的简单体温计的特定组合，可以改善DT。版权所有(C)2009 John Wiley&Sons，Ltd.
Purpose: To examine the added value of an algorithmic combination of visual-analogue thermometers compared with the Distress Thermometer (DT) when attempting to detect depression, anxiety or distress in early cancer.Methods: We report Classification and Regression Tree and logistic regression analyses of the new five-domain Emotion Thermometers tool. This is a combination of five visual-analogue scales in the form of four mood domains (distress, anxiety, depression, anger) as well as need for help. 130 patients attending for their first chemotherapy treatment were assessed. We calculated optimal accuracy for each domain alone and in combination against several criterion standards.Results: When attempting to diagnose depression the Depression Thermometer (DepT) used alone was the optimal approach, but when attempting to detect broadly defined distress or anxiety then a combination of thermometers was most accurate. The DepT was significantly more accurate in detecting depression than the DT. For broadly defined distress a combination of depression, anger and help thermometers was more accurate than the DT alone. For anxiety, while the anxiety thermometer (AnxT) improves upon the DT alone, a combination of the DepT and AnxT are optimal. In each case the optimal strategy allowed the detection of at least an additional 9%, of individuals. However, combinations are more laborious to score. In settings where the simplest possible option is preferred the most accurate single thermometer might be preferable as a first stage assessment.Conclusion: The DT can be improved by specific combinations of simple thermometers that incorporate depression, anxiety, anger and help. Copyright (C) 2009 John Wiley & Sons, Ltd.