The Distress Thermometer (DT) is worldwide the most commonly used instrument for quick screening of emotional burden in patients with cancer. In order to validate the Greek version of the DT in the Greek population we aimed to explore the capacity of the DT to identify patients with comorbid depressive diagnosis. We analyzed the routinely collected clinical data from 152 patients with cancer who had been evaluated by the consultation-liaison psychiatric service and had received a diagnosis of either depressive disorder or no psychiatric diagnosis. The score of the DT accompanied by the list of problems in the Problem List, the depression status, and the clinical and demographic characteristics entered the data sheet. The ROC analysis revealed that the DT achieved a significant discrimination with an area under the curve of 0.79. At a cut-off point of 4, the DT identified 85% of the patients with an ICD-10 depressive diagnosis (sensitivity) and 60% of the patients without a psychiatric diagnosis (specificity). The positive predictive value was 44%, the negative predictive value 92% and the diagnostic odd ratio 8.88. Fatigue and emotional difficulties were the most commonly reported problems by the patients. The Greek version of the DT has a sufficient overall accuracy in classifying patients regarding the existence of depressive disorders, in the oncology setting. Therefore, it can be considered as a valid initial screening tool for depression in patients with cancer; patients scoring ≥4 should be assessed by a more thorough mental evaluation.

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希腊版遇险温度计与抑郁症临床访谈的比较

遇险温度计（DT）是全球最常用的快速筛查癌症患者情绪负担的仪器。为了在希腊人群中验证DT的希腊文版本，我们旨在探索DT识别伴有抑郁症的患者的能力。我们分析了由152位癌症患者的常规收集的临床数据，这些患者已通过咨询精神病学服务进行了评估，并且已被诊断出患有抑郁症或没有精神病诊断。DT的分数以及“问题列表”中的问题列表，抑郁状态以及临床和人口统计学特征一起输入了数据表。ROC分析显示，DT在0.79的曲线下面积得到了明显的分辨。在4的临界点，DT识别出85％的患有ICD-10抑郁症诊断（敏感性）的患者和60％的没有精神病诊断（特异性）的患者。阳性预测值为44％，阴性预测值为92％，诊断比值为8.88。疲劳和情绪困难是患者最常报告的问题。在肿瘤学背景下，希腊文版的DT在分类是否存在抑郁症方面具有足够的整体准确性。因此，它可以被认为是癌症患者抑郁症的有效初始筛查工具。得分≥4的患者应通过更彻底的心理评估来评估。DT确定了85％的患有ICD-10抑郁症诊断（敏感性）的患者和60％的没有精神病诊断（特异性）的患者。阳性预测值为44％，阴性预测值为92％，诊断比值为8.88。疲劳和情绪困难是患者最常报告的问题。在肿瘤学背景下，希腊文版的DT在分类是否存在抑郁症方面具有足够的整体准确性。因此，它可以被认为是癌症患者抑郁症的有效初始筛查工具。得分≥4的患者应通过更彻底的心理评估来评估。DT确定了85％的患有ICD-10抑郁症诊断（敏感性）的患者和60％的没有精神病诊断（特异性）的患者。阳性预测值为44％，阴性预测值为92％，诊断比值为8.88。疲劳和情绪困难是患者最常报告的问题。在肿瘤学背景下，希腊文版的DT在分类是否存在抑郁症方面具有足够的整体准确性。因此，它可以被认为是癌症患者抑郁症的有效初始筛查工具。得分≥4的患者应通过更彻底的心理评估来评估。疲劳和情绪困难是患者最常报告的问题。DT的希腊文版本在肿瘤学背景上对抑郁症的存在进行分类时具有足够的整体准确性。因此，它可以被认为是癌症患者抑郁症的有效初始筛查工具。得分≥4的患者应通过更彻底的心理评估来评估。疲劳和情绪困难是患者最常报告的问题。在肿瘤学背景下，希腊文版的DT在分类是否存在抑郁症方面具有足够的整体准确性。因此，它可以被认为是癌症患者抑郁症的有效初始筛查工具。得分≥4的患者应通过更彻底的心理评估来评估。