Mental mood of gynecologic cancer patients assessed by distress and impact thermometer (DIT; a two-item, self-report questionnaire) and hospital anxiety and depression scale (HADS; a 14-item, self-report questionnaire) during the initial treatment in the first 6 months: KCOG-G1103 study.

9568 Background: Thirty percent of cancer patients are reported to suffer from psychological distress which detracts from treatment adherence, but that is often underestimated in clinical settings. HADS is one of the validated scales for screening emotional distress in cancer patients. However, it is not used widely because it is cumbersome to score. DIT is a 2-item (the Distress and the Impact) self-report questionnaire, but is not well verified. Methods: One hundred and seventeen patients were enrolled between 2011.5.1 and 2012.3.31 and 95 were eligible. Median age was 54 years (range 31–77). The numbers of completed questionnaires (HADS & DIT) at (a) pretreatment, (b) 3 months, and (c) 6 months were 95, 80, and 70, respectively. No patients relapsed during the investigated period. Results: 1) Areas under the curve of receiver operating characteristic curves for Distress and Impact with respect to HADS positivity were 0.855 and 0.875 respectively. At Distress ≥4 and Impact ≥2, sensitivity, specificity, ...