Research Article

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

Table 2

Bivariate and multivariate analysis of the association between the distress thermometer (DT) score and the sociodemographic, clinical characteristics of patients, and the problem list domains.

Demographic and clinical characteristicsNo. of patients (%)DT < 4(%)DT ≥ 4(%)Bivariate analysis valueMultivariate analysis value

Age (mean ± SD)54.4 ± 11.2

Source<0.0010.07
 Inpatients784 (52.4)328 (41.8)456 (58.2)
 Outpatients712 (47.6)472 (66.3)240 (33.7)

Gender0.17
 Male729 (48.7)403 (50.4)326 (46.8)
 Female767 (51.3)397 (49.6)370 (53.2)

Marital status0.51
 Married1408 (94.1)750 (53.3)658 (46.7)
 Unmarrieda88 (5.9)50 (56.8)38 (43.2)

Education level<0.0010.01
 Junior high school or less847 (56.6)412 (48.6)435 (51.4)
 More than junior high school649 (43.4)388 (59.8)261 (40.2)

Employment<0.0010.48
 Farmer490 (32.8)223 (45.5)267 (54.5)
 Others1006 (67.2)577 (57.4)429 (42.6)

Monthly income (RMB)0.0020.28
 <30001062 (71.0)522 (49.2)540 (50.8)
 >3000434 (29.0)260 (59.9)174 (40.1)

Diagnosis0.020.02
 Known1345 (89.9)732 (54.4)613 (45.6)
 Unknown151 (10.1)68 (45.0)83 (55.0)

Exercise<0.001<0.001
 Lack (<150 min/week)1010 (67.5)441 (43.7)569 (56.3)
 Often (>150 min/week)486 (32.5)359 (73.9)127 (26.1)

Disease status<0.0010.001
 Complete remission289 (19.3)222 (76.8)67 (23.2)
 Active disease1207 (80.7)578 (47.9)629 (52.1)

Type of cancer
 Lung503 (33.6)250 (49.7)253 (50.3)0.030.85
 Digestive414 (27.7)212 (51.2)202 (48.8)0.27
 Gynecological163 (10.9)104 (63.8)59 (36.2)0.0050.91
 Breast156 (10.4)85 (54.5)71 (45.5)0.78
 Head and neck107 (7.2)55 (51.4)52 (48.6)0.65
 Urogenital69 (4.6)44 (63.8)25 (36.2)0.79
 Hematological63 (4.2)39 (61.9)24 (38.1)0.17
 Bone and soft tissue21 (1.4)11 (52.4)10 (47.6)0.91

Stage of cancer<0.001<0.001
 Advance576 (38.5)234 (40.6)342 (59.4)
 Othersb920 (61.5)566 (61.5)354 (38.5)

Treatment received0.29
 Combined treatmentc834 (55.7)436 (52.3)398 (47.7)
 Single treatment662 (44.3)364 (55.0)298 (45.0)

Months since diagnosis0.57
 <6 months816 (54.5)431 (52.8)385 (47.2)
 >6 months680 (45.5)369 (54.3)311 (45.7)

Practical problem894 (59.8)374 (41.8)520 (58.2)<0.0010.12

Family problem464 (31.0)176 (37.9)288 (62.1)<0.0010.32

Emotional problem1064 (71.1)176 (37.9)288 (62.1)<0.001<0.001

Physical problem1174 (78.5)503 (42.8)671 (57.2)<0.001<0.001

DT (mean ± SD)3.3 ± 2.6

aUnmarried (single/divorced/separated/widowed). bOther stages of cancer (stage I, II, III, and cancer stage under evaluation). cCombined treatments (chemotherapy + surgery + radiotherapy + targeted treatment). Bold values denote statistically significant values (). Bold values denote statistically significant values ().