Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

Table 1

Summary of the Mainland China and Taiwan studies examining the validity of the distress thermometer (DT).

Author	Origin	Sample size	Cancer type	Setting	Reference criteria	DT cutoff score	AUC	SE	SP	PPV (%)	NPV (%)
Tang et al. [19]	Beijing	574	Mixed	Inpatient	HADS-T; SCL-90	4; 4	0.80; 0.83	0.80; 0.87	0.70; 0.72
Hong et al. [20]	Fujian	442	NPC survivors		HADS-T	4	0.72	0.42	0.85
Deng et al. [21]	Sichuan	295	NPC		HADS-T	4	0.87	0.73	0.85	69.0	87.0
Wang et al. [12]	Sichuan	323	Lymphoma	Inpatient	HADS-T	5	0.91	0.75	0.86
Zheng et al. [11]	Sichuan	172		Inpatient	HADS-T; HADS-T	4; 3	0.91; 0.79	0.82; 0.78	0.95; 0.79
Guan et al. [22]	Tianjin	441	Advance mixed cancer patients with pain	Inpatient	HADS-T	5	0.75	0.86	0.53	73.6	71.5
Wang et al. [23]	Taiwan	103	Mixed		DSM IV	4	0.89	0.98	0.73
Chiou et al. [24]	Taiwan	786	Mixed	Inpatient	GHQ-12	4	0.79	0.72	0.80	29.2	96.2

NPC, nasopharyngeal cancer; HADS-T, Hospital Anxiety and Depression Scale-Total; SCL-90, Symptom Checklist-90; DSM IV, Diagnostic and Statistical Manual of Mental Disorders, 4th edition; GHQ-12, General Health Questionnaire-12; AUC, area under the curve; SE, sensitivity; SP, specificity; PPV, positive predictive value; NPV, negative predictive value.