NCCN Guidelines Version 2.

2023 NCCN Guidelines Index

Table of Contents
Distress Management Discussion

NCCN DISTRESS THERMOMETER PROBLEM LIST

Distress is an unpleasant experience of a mental, physical, Have you had concerns about any of the items below in the past
social, or spiritual nature. It can affect the way you think, week, including today? (Mark all that apply)
feel, or act. Distress may make it harder to cope with having Physical Concerns Practical Concerns
cancer, its symptoms, or its treatment.
 Pain  Taking care of myself
Instructions: Please circle the number (0–10) that best  Sleep  Taking care of others
describes how much distress you have been experiencing in  Fatigue  Work
the past week, including today.  Tobacco use  School
 Substance use  Housing
 Memory or concentration  Finances
10  Sexual health  Insurance
Extreme distress
 Changes in eating  Transportation
9  Loss or change of physical abilities  Child care
Emotional Concerns  Having enough food
8  Access to medicine
 Worry or anxiety
 Sadness or depression  Treatment decisions
7
 Loss of interest or enjoyment Spiritual or Religious Concerns
6  Grief or loss  Sense of meaning or purpose
 Fear  Changes in faith or beliefs
5  Loneliness  Death, dying, or afterlife
 Anger  Conflict between beliefs and
4  Changes in appearance cancer treatments
 Feelings of worthlessness or being a  Relationship with the sacred
3 burden  Ritual or dietary needs

2 Social Concerns Other Concerns:

 Relationship with spouse or partner
 Relationship with children __________________________
1
 Relationship with family members
0 __________________________
No distress  Relationship with friends or coworkers
 Communication with health care team
__________________________
 Ability to have children

Note: All recommendations are category 2A unless otherwise indicated.

Clinical Trials: NCCN believes that the best management of any patient with cancer is in a clinical trial. Participation in clinical trials is especially encouraged.

Version 2.2023, 12/22/2022 © 2022 National Comprehensive Cancer Network® (NCCN®), All rights reserved. NCCN Guidelines® and this illustration may not be reproduced in any form without the express written permission of NCCN.
DIS-A