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Personal Reflection
20 (
); 65-65

Distress Screening Using Distress Thermometer

Primary Care Unit, KMT Center, Bangkok, Thailand
Visiting Professor, Hainan Medical University, Hainan, China
Address for correspondence: Dr. Sora Yasri; E-mail:

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

This article was originally published by Medknow Publications & Media Pvt Ltd and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.


The report on distress screening using distress thermometer is very interesting.[1] Lewis et al.,[1] concluded for “Positive correlation between distress score and pain score and occurrence of physical symptoms.” The concern is on distress thermometer. Chambers et al.,[2] reported that this tool was acceptable in case that “a cut-off of ≥4 may be optimal soon after diagnosis, and for longer-term assessments, ≥3 was supported.” The adjustment of the tool for each setting is needed. Martínez et al.,[3] noted that “the diagnostic accuracy of the DT could be improved with minor proposed modifications to the DT and the inclusion of nonemotional ultra short measures.” Second, the tool has to be modified in case that it was aiming at pediatric patients screening.[4]


  1. , , , , . Distress screening using distress thermometer in head and neck cancer patients undergoing radiotherapy and evaluation of causal factors predicting occurrence of distress. Indian J Palliat Care. 2013;19:88-92.
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  2. , , , , , . The validity of the distress thermometer in prostate cancer populations. 2013
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  3. , , , , . The Distress Thermometer in Spanish cancer patients: Convergent validity and diagnostic accuracy. Support Care Cancer. 2013;21:3095-102.
    [Google Scholar]
  4. , , , , , , . Development and validation of the distress thermometer for parents of a chronically ill child. J Pediatr. 2013;163:1140-6.
    [Google Scholar]

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