Distress thermometer for preoperative screening of patients with oral squamous cell carcinoma

J Craniomaxillofac Surg. 2018 Jul;46(7):1111-1116. doi: 10.1016/j.jcms.2018.04.022. Epub 2018 May 9.

Abstract

In this study, we evaluate the association between distress, various demographic and medical variables, and the prevalence of psychosocial distress in preoperative patients with oral squamous cell carcinoma. A total of 100 consecutive patients were recruited into the study and asked to complete the Distress Thermometer (DT) form with the Problem List questionnaire prior to surgical intervention; the average distress score was 5.7 ± 2.7. The distress score was neither correlated with age (r = -0.025; p = 0.804) nor with tumor size (r = 0.028; p = 0.785). General worries, anxiety, sadness, depression, pain, exhaustion, sleeping disorders, or problems with nutrition resulted in significantly higher distress scores compared to patients without these complaints. Individuals with a DT score of 5 or higher (p = 0.006) were advised to seek out psychological support. There is a strong correlation between a high DT score and emotional disorders, as well as physical problems.

Keywords: Distress thermometer; Head and neck; OSCC; Psychooncology.

MeSH terms

  • Aged
  • Anxiety / etiology
  • Carcinoma, Squamous Cell / psychology*
  • Carcinoma, Squamous Cell / surgery
  • Depression / etiology
  • Fatigue / etiology
  • Female
  • Humans
  • Male
  • Memory, Episodic
  • Middle Aged
  • Mouth Neoplasms / psychology*
  • Mouth Neoplasms / surgery
  • Pain / etiology
  • Preoperative Period
  • Sleep Wake Disorders / etiology
  • Stress, Psychological*
  • Surveys and Questionnaires