Scores on the distress scale range from 0 (no distress) to 24 (highly distressed).
Through our screening for mental disorders, we might have likewise excluded highly distressed tinnitus sufferers as high distress in tinnitus is often accompanied by a mental disorder [ 59].
Furthermore, those in CAPS displayed significantly greater improvements in medication adherence than those in the other two groups, underscoring the important contribution of distress-focused interventions for highly distressed patients.
However, screening all callers for distress allows operators to direct or prioritise interventions or referrals [ 24, 25], determine the exact level of distress for those who appear highly distressed, and provides operators with a rationale for assessing suicidality.
Our study will contribute important statistical evidence on whether CALM can reduce depression and existential distress in a German sample of advanced and highly distressed cancer patients.
As one of the few psycho-oncological interventions dealing with these issues, our study will contribute important statistical evidence on whether CALM can reduce depression and existential distress in a German sample of advanced and highly distressed cancer patients.
Comparing higher distressed participants with lower distressed participants, highly distressed participants seemed to profit more of the training in terms of distress reduction (GSI, d = 0.85).
Further, older persons were less likely to be highly distressed as remoteness increased, with urban participants showing little change in psychological distress with increasing age.
There was a trend for more highly distressed callers to be triaged to more intensive care, with patients with distress scores ≥ 4 more likely to receive extended or specialist care.
Routine screening for psychological distress is uncommon in acute treatment centres reducing the likelihood of detecting highly distressed patients and providing them with timely support [ 8].
Most companies with bonds yielding 10% are highly distressed".
