02090nas a2200397   4500000000100000008004100001260001800042653002300060653002200083653001400105653001000119653002000129653002200149653002100171653002100192100002500213700001600238700001700254700003000271700001700301700002300318700001600341700002200357700001900379700001600398700001800414700003100432700002800463700002800491245016800519856007200687300001200759490000700771520090000778022001401678       2016                            d  cjulbElsevier10aEmotional distress10aPrimary caregiver10aScreening10aScale10aPalliative care10aScale development10aAdvanced illness10aTerminal illness1 aJoaquín T. Limonero1 aJorge Maté1 aDolors Mateo1 aJesús González-Barboteo1 aRamon Bayés1 aMontserrat Bernaus1 aCarme Casas1 aMontserrat López1 aAgustina Sirgo1 aSilvia Viel1 aCruz Sánchez1 aMaría José Gómez-Romero1 aMaría Álvarez-Moleiro1 aJoaquín Tomás-Sábado00aDevelopment of the DME-C: A scale for detecting emotional distress in primary caregivers of patients living with advanced illness or approaching end of their lives  uhttps://www.sciencedirect.com/science/article/pii/S1134793716300288  a104-1090 v223 aThis paper presents the development of the Detection of Emotional Distress Scale in primary Caregivers (DED-C) of patients living with advanced disease or terminal illness who are receiving palliative care. The scale development process is described. For this purpose, literature has been reviewed and a theoretical framework of study as well as the characteristics of the screening tool have been established. The DED-C scale consists of 2 parts: 1) 3 questions addressed to primary caregivers, and 2) the health care professional s appreciation or observation of any external signs of emotional distress on behalf of the caregivers. The final scale was reviewed by experts and caregivers. The DED-C scale will be an appropriate tool for identifying caregivers’ emotional distress. We propose the systematic use of DED-C for early detection of and specific intervention on emotional distress.  a1134-7937