Frequency of psychological distress in gynecologic cancer patients seen in a large urban medical center

Hannah F. Cassedy, Christy Tucker, Linda S. Hynan, Renee Phillips, Cassandra Adams, Marian R. Zimmerman, Sandra Pitts, Paula Miltenberger, C. Allen Stringer

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Psychological distress in cancer is a well-documented phenomenon, but additional information is needed about demographic and disease correlates in diverse populations with different forms of cancer. This study focused on gynecologic cancers. Using the Distress Thermometer and the Hospital Anxiety and Depression Scale, this study examined distress levels in 94 women with gynecologic cancer who were being treated as outpatients at a large urban medical center. The distress levels in this sample were lower than in comparable studies, raising questions about openness to reporting distress. Those who reported higher levels of distress were more likely to also report a mental health diagnosis or psychiatric medication. This suggests that an alternate form for distress screening may involve inquiring about mental health treatment. In this sample, younger women and those with higher educational achievement or private health insurance had higher levels of distress. Conversely, there were no relations between distress levels and disease characteristics, indicating that, for example, women with early stage disease have just as much risk of distress as those with later-stage disease.

Original languageEnglish (US)
Pages (from-to)161-164
Number of pages4
JournalBaylor University Medical Center Proceedings
Issue number2
StatePublished - Apr 3 2018


  • Distress
  • gynecologic cancer
  • mental health
  • oncology

ASJC Scopus subject areas

  • Medicine(all)


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