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Cancer

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The Massachusetts General Hospital Handbook of Behavioral Medicine

Part of the book series: Current Clinical Psychiatry ((CCPSY))

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Abstract

Cancer represents a significant and growing worldwide health burden. Cancer care involves intensive multidisciplinary treatments that can cause substantial symptom burden and require a high level of coordination among providers. Active therapies are primarily administered in outpatient settings and patients must triage complications while at home, highlighting the importance of patient self-management. Comprehensive cancer care guidelines also emphasize the importance of health behaviors, including nutrition, physical activity, and smoking cessation. However, depression and anxiety symptoms can interfere with access to, and engagement in, optimal cancer care and self-management. This chapter focuses on how to adapt behavioral medicine assessments and interventions for patients with cancer, with additional attention to elderly patients and long-term survivors. Interventions focus on reducing psychological distress; improving quality of life and functioning; increasing adherence to medical care and health behaviors; and reducing anticancer treatment complications. Patients also may benefit from assistance in coping with fears of cancer recurrence, anticipatory grief, and existential or end-of-life concerns. Practitioners should collaborate with oncology teams and other specialists involved in patient care.

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Abbreviations

ACS:

American Cancer Society

BA:

Behavioral activation

CBT:

Cognitive behavioral therapy

MI:

Motivational interviewing

NCCN:

National Comprehensive Cancer Network

QOL:

Quality of life

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Authors and Affiliations

  1. Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Lara Traeger Ph.D. & Elyse R. Park Ph.D., M.P.H.

  2. Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA

    Jamie M. Jacobs Ph.D. & Giselle Perez-Lougee Ph.D.

  3. Center for Psychiatric Oncology & Behavioral Sciences, Massachusetts General Hospital Cancer Center, Yawkey Suite 10B, 55 Fruit Street, Boston, MA, 02114, USA

    Joseph A. Greer Ph.D.

Authors
  1. Lara Traeger Ph.D.
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  2. Jamie M. Jacobs Ph.D.
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  3. Giselle Perez-Lougee Ph.D.
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  4. Joseph A. Greer Ph.D.
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  5. Elyse R. Park Ph.D., M.P.H.
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Correspondence to Lara Traeger Ph.D. .

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Editors and Affiliations

  1. Department of Psychiatry Behavioral Medicine Service, Massachusetts General Hospital, Boston, Massachusetts, USA

    Ana-Maria Vranceanu

  2. Dept. of Psychiatric Oncology & Behavior, Massachusetts General Hospital Cancer Ce, Boston, Massachusetts, USA

    Joseph A. Greer

  3. Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA

    Steven A. Safren

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Traeger, L., Jacobs, J.M., Perez-Lougee, G., Greer, J.A., Park, E.R. (2017). Cancer. In: Vranceanu, AM., Greer, J., Safren, S. (eds) The Massachusetts General Hospital Handbook of Behavioral Medicine. Current Clinical Psychiatry. Humana Press, Cham. https://doi.org/10.1007/978-3-319-29294-6_8

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