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Causal factors of distress are multifactorial; which encompasses physical, psychological, spiritual, and existential factors with complex interrelationship among the factors.Materials and Methods: Thirty patients undergoing head and neck radiotherapy were included in the study.The first half of this thesis presents a literature review of 25 self-report screening measures for the detection of post-stroke distress.A total of 26 studies were identified as meeting the search criteria. The Hospital Anxiety and Depression Scale (HADS) was the only measure to meet recommended levels of accuracy for post-stroke anxiety.To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.International standards prioritize introducing routine emotional distress screening in cancer care to accurately identify patients who most need psycho-oncological treatment, and ensure that patients can access appropriate supportive care.However, only a moderate proportion of distressed patients accepts referrals to or uses psycho-oncological support services.Predictors and barriers to psycho-oncological support service utilization are under-studied.

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National guidelines for stroke recommend that all patients entering rehabilitation are screened for mood disturbance using a validated measure.Distress, a multifactorial unpleasant emotional experience of a psychological (cognitive, behavioral and emotional), social and/or spiritual nature that may interfere with the ability to cope with cancer effectively, its physical symptoms and its treatment, can easily be assessed by the Distress Thermometer.In this trial we aim to determine if the Distress Thermometer, accompanied by the 38-item Problem List, could predict cancer-related cognitive impairment in patients with hematologic malignancies, and in patients with gynecological, urological, breast, lung or gastro-intestinal cancer receiving curative radiotherapy, chemotherapy, radiochemotherapy, anti-hormonal or targeted therapy.We will monitor outcomes (psycho-oncology service uptake) four months after study entry.Your access to the NCBI website at gov has been temporarily blocked due to a possible misuse/abuse situation involving your site.

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