TY - JOUR
T1 - Validation of the Distress Thermometer and Problem List in Patients with Recurrent Respiratory Papillomatosis
AU - San Giorgi, Michel R. M.
AU - Aaltonen, Leena-Maija
AU - Rihkanen, Heikki
AU - Tjon-Pian-Gi, Robin
AU - van der Laan, Bernard F. A. M.
AU - Hoekstra-Weebers, Josephine
AU - Dikkers, Frederik G.
PY - 2017/1
Y1 - 2017/1
N2 - Objective. There is no specific clinical tool for physicians to detect psychosocial and physical distress or health care need in patients with recurrent respiratory papillomatosis (RRP). The main aim of this study is to validate the RRP-adapted Distress Thermometer and Problem List (DT&PL).Study Design. Prospective cross-sectional questionnaire research.Setting. Academic tertiary care medical centers in Groningen, Netherlands, and Helsinki, Finland.Subjects and Methods. Ninety-one juvenile- and adult-onset RRP patients participated from the departments of otorhinolaryngology-head and neck surgery of the University Medical Center Groningen, Netherlands, and Helsinki University Hospital, Finland. The Hospital Anxiety and Depression Scale was used as the gold standard.Results. A DT cutoff score 4 gave the best sensitivity and specificity. Thirty-one percent of patients had significant distress according to the DT cutoff. Significantly more patients with a score above than under the cutoff had a referral wish. The PL appeared to be reliable. Patients' opinions on the DT&PL were largely favorable.Conclusion. The Dutch and Finnish versions of the DT&PL are valid, reliable screening tools for distress in RRP patients.
AB - Objective. There is no specific clinical tool for physicians to detect psychosocial and physical distress or health care need in patients with recurrent respiratory papillomatosis (RRP). The main aim of this study is to validate the RRP-adapted Distress Thermometer and Problem List (DT&PL).Study Design. Prospective cross-sectional questionnaire research.Setting. Academic tertiary care medical centers in Groningen, Netherlands, and Helsinki, Finland.Subjects and Methods. Ninety-one juvenile- and adult-onset RRP patients participated from the departments of otorhinolaryngology-head and neck surgery of the University Medical Center Groningen, Netherlands, and Helsinki University Hospital, Finland. The Hospital Anxiety and Depression Scale was used as the gold standard.Results. A DT cutoff score 4 gave the best sensitivity and specificity. Thirty-one percent of patients had significant distress according to the DT cutoff. Significantly more patients with a score above than under the cutoff had a referral wish. The PL appeared to be reliable. Patients' opinions on the DT&PL were largely favorable.Conclusion. The Dutch and Finnish versions of the DT&PL are valid, reliable screening tools for distress in RRP patients.
KW - recurrent respiratory papillomatosis
KW - screening
KW - distress
KW - QUALITY-OF-LIFE
KW - PSYCHOSOCIAL DISTRESS
KW - HOSPITAL ANXIETY
KW - DEPRESSION SCALE
KW - CANCER
KW - VOICE
KW - CHILDREN
U2 - 10.1177/0194599816668307
DO - 10.1177/0194599816668307
M3 - Article
VL - 156
SP - 180
EP - 188
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
SN - 0194-5998
IS - 1
ER -