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Research has shown that single-item tools, like the Distress Thermometer (DT), are comparable to longer ones, like the Hospital Anxiety and Depression Scale (HADS).

In this study, we tested the validity of the DT in a population of Singapore cancer outpatients, and determined the cut-off scores on the DT for clinically relevant distress and an impaired quality of life (QOL).

During diagnosis and treatment of the disease, patients not only experience a series of physical problems, such as pain, fatigue, nausea, vomiting, and sleep disorders, but also a series of mental health issues, including fear, sadness, anxiety, and depression 2.

These physical and mental problems cause psychological distress in patients 3.

The score identified on the distress thermometer may guide clinical decision making.The DT was found to be a valid tool for distress screening in the Singapore cancer population, with a recommended cut-off score of 5.A systematic, evidence-based approach for screening supportive care needs should be routine and periodic practice.Various screening tools have been developed to quickly identify people who may be psychologically distressed 18,20,21. Psychological distress in Icelandic patients with repeated recurrences of cancer. Cancer can be a distressing experience for cancer patients and carers, impacting on psychological, social, physical and spiritual functioning.

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