Validation of a needs-based biopsychosocial distress instrument for cancer patients Journal Article


Authors: Lowery, A. E.; Greenberg, M. A.; Foster, S. L.; Clark, K.; Casden, D. R.; Loscalzo, M.; Bardwell, W. A.
Article Title: Validation of a needs-based biopsychosocial distress instrument for cancer patients
Abstract: Objective People with cancer may experience distress related to diagnoses, disease-related symptoms, and treatment side effects. Assessment of cancer-related needs can facilitate timely triage and intervention and contribute to individualized comprehensive cancer care. This study assessed the internal consistency, test-retest reliability and construct validity of the Cancer Needs Distress Inventory (CaNDI), a self-report, needs-based measure of cancer-related distress. Methods A sample of 100 patients (27% male) with various cancer diagnoses completed the CaNDI, Hospital Anxiety and Depression Scale, Brief Symptom Inventory, Functional Assessment of Cancer Therapy-General, and the Paulhus Deception Scales. Results The CaNDI total and depressive and anxiety subscale scores all demonstrated excellent test-retest reliability and moderate to high correlations with other measures of these constructs. The instrument was minimally confounded by social desirability and provided high sensitivity and specificity in detecting depression and anxiety. Conclusions Initial results suggest that the CaNDI has strong psychometric properties and may be a useful addition to cancer patient needs assessment, research and care. Copyright © 2011 John Wiley & Sons, Ltd. Copyright © 2011 John Wiley & Sons, Ltd.
Keywords: adult; aged; aged, 80 and over; middle aged; functional assessment; major clinical study; cancer patient; cancer staging; sensitivity and specificity; neoplasm; neoplasms; reproducibility of results; ovary cancer; breast cancer; lung cancer; oncology; cancer therapy; self report; questionnaires; social status; social support; depression; colon cancer; psychiatric status rating scales; distress syndrome; brief symptom inventory; emotion; construct validity; discriminant validity; test retest reliability; anxiety; educational status; chronic lymphatic leukemia; psychologic test; rectum cancer; needs assessment; socioeconomic factors; predictive value; stress, psychological; myeloma; income; psychometrics; internal consistency; psychometry; receiver operating characteristic; hospital anxiety and depression scale; distress; personality inventory; named inventories, questionnaires and rating scales; instrument validation; social desirability; cancer needs distress inventory
Journal Title: Psycho-Oncology
Volume: 21
Issue: 10
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2012-10-01
Start Page: 1099
End Page: 1106
Language: English
DOI: 10.1002/pon.2008
PROVIDER: scopus
PUBMED: 21830256
DOI/URL:
Notes: --- - "Export Date: 2 November 2012" - "CODEN: POJCE" - "Source: Scopus"
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  1. Amy E. Lowery-Allison
    14 Lowery