Purpose: This study aimed to identify demographic, clinical, and psychosocial predictors of moderate-to-severe emotional distress in cancer patients at Kuwait Cancer Control Centre (KCCC), and to examine whether sex or nationality moderated these relationships. Lymphoma, gastrointestinal, and breast cancer were selected due to their high prevalence and consistent uptake of routine distress screening (K-DART).
Methods: We retrospectively analyzed K-DART data (2013-2017) from 3262 adult patients who completed validated assessments: PHQ-9 (depression), GAD-7 (anxiety), ESAS-r (symptom burden), and the Canadian Problem Checklist (CPC).