Distress Screening Using the Distress Thermometer in Cancer Patients Undergoing Radiotherapy and Chemotherapy: Predictors and Impact on Compliance and Satisfaction

Prathipati Navyasri, Ramyavardhani Mamidala, Kotlapati Sudhakar, Thota Ajay, Maddali Srinivas

Abstract: This study investigates the levels of distress experienced by 300 cancer patients undergoing radiotherapy and/or chemotherapy at Kamineni Academy of Medical Sciences and Research Centre, Hyderabad, utilizing the Distress Thermometer (DT) as a primary screening tool. The objectives include identifying the causal factors contributing to distress and evaluating its impact on patient compliance with treatment regimens and overall satisfaction with healthcare services. Participants completed the DT along with a comprehensive questionnaire addressing demographic variables, medical history, and psychosocial factors. The results revealed that 65% of patients reported moderate to high distress levels, with significant predictors identified, including fear of treatment outcomes, financial concerns, and the availability of social support. Notably, higher distress levels were significantly correlated with lower treatment compliance (p<0.01) and reduced patient satisfaction (p<0.05). These findings underscore the importance of routine distress screening in oncology settings, highlighting that proactive measures to address emotional distress can substantially enhance patient adherence to treatment protocols and improve overall satisfaction with the care received. This study advocates for the integration of psychosocial support into the cancer care framework to promote better health outcomes.

Keywords: Distress, Distress Thermometer, Cancer, Compliance, Patient Satisfaction