BACKGROUND: The validity of the Distress Thermometer (DT) as a screen for @entity458 in young adult @entity5 survivors was assessed by comparing it with the results of a @entity146 diagnostic interview, the Structured Clinical Interview for the Diagnostic and Statistical Manual of @entity146 , 4th Edition (DSM-IV) ( @entity915 ), to evaluate the accuracy of the DT and identify optimal cutoff scores for this population. METHODS: A total of 247 survivors aged 18 to 40 years completed the DT and @entity915 . Based on the @entity915 , @entity1 were classified as having: 1)   >=    1 @entity915 diagnoses; 2) significant symptoms, but no @entity915 diagnosis; or 3) no significant @entity915 symptoms. Receiver operating characteristic analyses determined the sensitivity and specificity of all possible DT cutoff scores for detecting survivors with a @entity915 diagnosis, and subsequently for survivors with significant @entity915 symptoms or a @entity915 diagnosis. RESULTS: The recommended DT cutoff score of >= 5 failed to identify 31.81% of survivors with a @entity915 diagnosis (sensitivity of 68.18% and specificity of 78.33%), and 32.81% of survivors with either significant @entity915 symptoms or a @entity915 diagnosis. No alternative DT cutoff score met the criteria for acceptable sensitivity (>= 85%) and specificity (>= 75%). CONCLUSIONS: The DT does not reliably identify young adult @entity5 survivors with @entity146 problems identified by a "gold standard" structured @entity146 interview. Therefore, the DT should not be used as a stand-alone psychological screen in this population. @entity5 2015.    2015 American @entity5 Society.

Screening young adult XXXX survivors for distress with the Distress Thermometer: Comparisons with a Structured Clinical diagnostic interview.

@entity1 :: ('9606', 'Species') :: ['participants'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric', 'Mental Disorders'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'Cancer'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological distress'] @entity915 :: ('MESH:D053632', 'Disease') :: ['SCID']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
