Brief emotional screening in oncology: Specificity and sensitivity of the emotion thermometers in the Portuguese cancer population

Palliat Support Care. 2020 Feb;18(1):39-46. doi: 10.1017/S1478951519000208.

Abstract

Objective: This study aimed to determine the cutoff and the specificity and sensitivity of the Emotion Thermometers (ET) in a Portuguese sample of cancer patients.

Method: A total of 147 patients (mean age = 49.2; SD = 12.6) completed the ET, the Brief Symptom Inventory (BSI), and the Subjective Experiences of Illness Suffering Inventory. Data were collected in a cancer support institution and in a major hospital in the North of Portugal.

Result: The optimal cutoff for the Anxiety Thermometer was 5v6 (until 5 and 6 or more), which identified 74% of the BSI-anxiety cases and 70% of noncases. The Depression Thermometer cutoff was 4v5 (until 4 and 5 or more), which identified 85% of BSI-depression cases and 82% of noncases. Cutoff for the Anger Thermometer was 4v5 (until 4 and 5 or more), which identified 83% of BSI-hostility cases and 73% of noncases; for the Distress Thermometer, the optimal cutoff was 4v5 (until 4 and 5 or more), which identified 84% of the suffering cases and 73% of noncases. Finally, for the Help Thermometer, it was 3v4 (until 3 and 4 or more), which helped to identify 93% of the suffering cases and 64% of noncases.

Significance of results: Results supported the Portuguese version of the ET as an important screening tool for identifying the emotional distress in cancer patients.

Keywords: Cancer; Distress; Emotion thermometers; Portugal; Validation.

MeSH terms

  • Adult
  • Anxiety / complications
  • Anxiety / diagnosis
  • Anxiety / psychology
  • Depression / complications
  • Depression / diagnosis
  • Depression / psychology
  • Emotions*
  • Female
  • Humans
  • Male
  • Mass Screening / methods*
  • Mass Screening / statistics & numerical data
  • Medical Oncology / instrumentation*
  • Medical Oncology / methods
  • Middle Aged
  • Neoplasms / complications
  • Neoplasms / psychology*
  • Portugal
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Surveys and Questionnaires