Wiholm et al developed the Emotional Distress Scale (EDS) for evaluating patients with a malignant disease. This can be used to monitor a patient over time. The authors are from Stockholm and Uppsala in Sweden.



(1) aches and pains

(2) fatigability

(3) lassitude

(4) inability to feel

(5) reduced sleep

(6) reduced appetite

(7) sadness

(8) inner tension


There are 4 responses that are scored from 0 (absent) to 6 (marked)


total score =

= SUM(points for all 8 parameters)



• minimum score: 0

• maximum score: 48

• The higher the score, the greater the emotional and physical distress.


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