提高苦恼温度计的诊断准确性：冲击温度计的潜在作用。
Improving the Diagnostic Accuracy of the Distress Thermometer: A Potential Role for the Impact Thermometer.
作者信息
Martínez Paula, Andreu Yolanda, Galdón María José, Ibáñez Elena
机构信息
University of Valencia, Valencia, Spain.
University of Valencia, Valencia, Spain.
出版信息
J Pain Symptom Manage. 2015 Jul;50(1):124-9. doi: 10.1016/j.jpainsymman.2015.02.004. Epub 2015 Feb 18.
CONTEXT
Screening for and management of distress in clinical practice is an important issue in the field of psycho-oncology. The Distress Thermometer (DT) is a common screening tool, but other methods recently have been proposed, with the aim of improving its diagnostic accuracy.
OBJECTIVES
To investigate the diagnostic accuracy of the DT alone and combined with the Impact Thermometer (IT), via the use of two possible combination methods.
METHODS
A heterogeneous sample of 385 adult patients with cancer completed the DT, the IT, and the Brief Symptom Inventory-18.
RESULTS
The results of the DT were comparable with those found in previous studies, indicating that the DT was adequate for "screening" but had limited value for "case finding." The DT and the IT combined (summed or paired scores) showed minor differences in accuracy indexes compared with the DT alone.
CONCLUSION
The results of this study suggest that the addition of the IT to the DT failed to improve its accuracy for identifying distress.
背景
在临床实践中筛查和处理心理困扰是心理肿瘤学领域的一个重要问题。苦恼温度计（DT）是一种常用的筛查工具，但最近有人提出了其他方法，旨在提高其诊断准确性。
目的
通过使用两种可能的组合方法，研究单独使用DT以及DT与影响温度计（IT）联合使用时的诊断准确性。
方法
385名成年癌症患者的异质性样本完成了DT、IT和简明症状量表-18。
结果
DT的结果与先前研究中的结果相当，表明DT足以用于“筛查”，但在“病例发现”方面价值有限。与单独使用DT相比，DT和IT联合使用（总分或配对分数）在准确性指标上显示出微小差异。
结论
本研究结果表明，在DT中加入IT并不能提高其识别心理困扰的准确性。
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