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Abstract

Individuals with advanced cancer may experience disruption in many areas of daily life. This chapter highlights some of the common psychosocial challenges that arise, reviews screening measures that may help identify those at heightened risk, and considers brief psychosocial interventions that may be useful components of integrated stepped care.

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References

  • American College of Surgeons. (2012). Cancer program standards 2012: Ensuring patient-centered care. Chicago, IL. Retrieved from http://www.facs.org/cancer/coc/cocprogramstandards2012.pdf

  • Ando, M., Morita, T., Akechi, T., & Okamoto, T. (2010). Efficacy of short-term life-review interviews on the spiritual well-being of terminally ill cancer patients. Journal of Pain and Symptom Management, 39, 993–1002.

    Article  PubMed  Google Scholar 

  • Arch, J. J., & Mitchell, J. L. (2016). An acceptance and commitment therapy (ACT) group intervention for cancer survivors experiencing anxiety at re-entry. Psycho-Oncology, 25, 610–615.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the hospital anxiety and depression scale: An updated literature review. Journal of Psychosomatic Research, 52, 69–77.

    Article  PubMed  Google Scholar 

  • Breitbart, W., Poppito, S., Rosenfeld, B., Vickers, A. J., Li, Y., Abbey, J., … Cassileth, B. R. (2012). Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of Clinical Oncology, 30, 1304–1309.

    Article  PubMed  PubMed Central  Google Scholar 

  • Breitbart, W., Rosenfeld, B., Pessin, H., Applebaum, A., Kulikowski, J., & Lichtenthal, W. G. (2015). Meaning-centered group psychotherapy: An effective intervention for improving psychological well-being in patients with advanced cancer. Journal of Clinical Oncology, 33, 749–754.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bruera, E., Kuehn, N., Miller, M. J., Selmser, P., & Macmillan, K. (1991). The Edmonton Symptom Assessment System (ESAS): A simple method for the assessment of palliative care patients. Journal of Palliative Care, 7, 6–9.

    PubMed  Google Scholar 

  • Butow, P., Price, M. A., Shaw, J. M., Turner, J., Clayton, J. M., Grimison, P., … Kirsten, L. (2015). Clinical pathway for the screening, assessment, and management of anxiety and depression in adult cancer patients: Australian guidelines. Psycho-Oncology, 24, 987–1001.

    Article  PubMed  Google Scholar 

  • Carlson, L. E., Waller, A., Groff, S. L., Zhong, L., Bultz, B. D. (2012). Online screening for distress, the 6th vital sign, in newly diagnosed oncology outpatients: Randomised controlled trial of computerised vs. personalised triage. British Journal of Cancer, 107, 617–625.

    Google Scholar 

  • Chochinov, H. M., Kristjanson, L. J., Breitbart, W., McClement, S., Hack, T. F., Hassard, T., & Harlos, M. (2011). Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: A randomised controlled trial. Lancet Oncology, 12, 753–762.

    Article  PubMed  Google Scholar 

  • Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese-Davis, J., … Spiegel, D. (2001). Supportive-expressive group therapy and distress in patients with metastatic breast cancer: A randomized clinical intervention trial. Archives of General Psychiatry, 58, 494–501.

    Article  PubMed  Google Scholar 

  • Cleeland, C. S. (1989). Measurement of pain by subjective report. In C. R. Chapman & J. D. Loeser (Eds.), Issues in pain measurement (pp. 391–403). New York: Raven Press.

    Google Scholar 

  • Cleeland, C. S., Mendoza, T. R., Wang, X. S., Chou, C., Harle, M. T., Morrissey, M., & Engstrom, M. C. (2000). Assessing symptom distress in cancer patients. Cancer, 89, 1634–1646.

    Article  PubMed  Google Scholar 

  • Coyne, J. C. (2013). Benefits of screening cancer patients for distress still not demonstrated. British Journal of Cancer, 108, 736–737.

    Article  PubMed  PubMed Central  Google Scholar 

  • Delgado-Guay, M., Parsons, H. A., Li, Z., Palmer, J. L., & Bruera, E. (2009). Symptom distress in advanced cancer patients with anxiety and depression in the palliative care setting. Supportive Care in Cancer, 17, 573–579.

    Article  PubMed  Google Scholar 

  • Derogatis, L. R. (2000). The Brief-Symptom-Inventory-18 (BSI-18): Administration, scoring and procedures manual. Minneapolis, MN: National Computer Systems.

    Google Scholar 

  • DiMatteo, M. R., Lepper, H. D., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160, 2101–2107.

    Article  PubMed  Google Scholar 

  • Dudgeon, D., King, S., Howell, D., Green, E., Gilbert, J., Hughes, E., … Sawka, C. (2012). Cancer Care Ontario’s experience with implementation of routine physical and psychological symptom distress screening. Psycho-Oncology, 21, 357–364.

    Article  PubMed  Google Scholar 

  • Fallowfield, L., Ratcliffe, D., Jenkins, V., & Saul, J. (2001). Psychiatric morbidity and its recognition by doctors in patients with cancer. British Journal of Cancer, 84, 1011–1015.

    Article  PubMed  PubMed Central  Google Scholar 

  • Garssen, B., & de Kok, E. (2008). How useful is a screening instrument? Psycho-Oncology, 17, 726–728.

    Article  PubMed  Google Scholar 

  • Groenvold, M., Petersen, M. A., Aaronson, N. K., Arraras, J. I., Blazeby, J. M., Bottomley, A., … EORTC Quality of Life Group. (2006). The development of the EORTC QLQ-C15-PAL: A shortened questionnaire for cancer patients in palliative care. European Journal of Cancer, 42, 55–64.

    Article  PubMed  Google Scholar 

  • Hart, S. L., Hoyt, M. A., Diefenbach, M., Anderson, D. R., Kilbourn, K. M., Craft, L. L., … Stanton, A. L. (2012). Meta-analysis of efficacy of interventions for elevated depressive symptoms in adults diagnosed with cancer. Journal of the National Cancer Institute, 104, 990–1004.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hodges, L. J., Humphris, G. M., & Macfarlane, G. (2005). A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Social Science and Medicine, 60, 1–12.

    Article  PubMed  Google Scholar 

  • Institute of Medicine. (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, D.C.: National Academy Press.

    Google Scholar 

  • Janssen, A., Shaw, T., Nagrial, A., Pene, C., Rabbets, M., Carlino, M., … Harnett, P. (2016). An online learning module to increase self-efficacy and involvement in care for patients with advanced lung cancer: Research protocol. Journal of Medical Internet Research Research Protocols, 5, e147.

    Google Scholar 

  • Johannsen, M., O’Connor, M., O’Toole, M. S., Jensen, A. B., Højris, I., & Zachariae, R. (2016). Efficacy of mindfulness-based cognitive therapy on late post-treatment pain in women treated for primary breast cancer: A randomized controlled trial. Journal of Clinical Oncology, 34, 3390–3399.

    Article  PubMed  Google Scholar 

  • Julião, M., Oliveira, F., Nunes, B., Vaz Carneiro, A., & Barbosa, A. (2014). Efficacy of dignity therapy on depression and anxiety in Portuguese terminally ill patients: A phase II randomized controlled trial. Journal of Palliative Medicine, 17, 688–695.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte Press.

    Google Scholar 

  • Kissane, D. W., Grabsch, B., Clarke, D. M., Smith, G. C., Love, A. W., Bloch, S., … Li, Y. (2007). Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial. Psycho-Oncology, 16, 277–286.

    Article  PubMed  Google Scholar 

  • Kitagawa, R., Yasui-Furukori, N., Tsushima, T., Kaneko, S., & Fukuda, I. (2011). Depression increases the length of hospitalization for patients undergoing thoracic surgery: A preliminary study. Psychosomatics, 52, 428–432.

    Article  PubMed  Google Scholar 

  • Kornblith, A. B., Dowell, J. M., Herndon, J. E., II, Engelman, B. J., Bauer-Wu, S., Small, E. J., … Holland, J. C. (2006). Telephone monitoring of distress in patients aged 65 years or older with advanced stage cancer. Cancer, 107, 2706–2714.

    Article  PubMed  Google Scholar 

  • Krebber, A.-M., Leemans, C. R., de Bree, R., van Straten, A., Smit, F., Smit, E. F., … Verdonck-de Leeuw, I. M. (2012). Stepped care targeting psychological distress in head and neck and lung cancer patients: A randomized clinical trial. BioMed Central Cancer, 12, 173.

    PubMed  PubMed Central  Google Scholar 

  • Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 9, 606–613.

    Article  Google Scholar 

  • Kroenke, K., Spitzer, R. L., & Williams, J. B. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Medical Care, 41, 1284–1292.

    Article  PubMed  Google Scholar 

  • Langford, D. J., Lee, K., & Miakowski, C. (2012). Sleep disturbance interventions in oncology patients and family caregivers: A comprehensive review and meta-analysis. Sleep Medicine Reviews, 16, 397–414.

    Article  PubMed  Google Scholar 

  • Lazenby, M., Ercolano, E., Grant, M., Holland, J. C., Jacobsen, P. B., & McCorkle, R. (2015). Supporting commission on cancer-mandated psychosocial distress screening with implementation strategies. Journal of Oncology Practice, 11, e413–e420.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lazenby, M., Tan, H., Pasacreta, N., Ercolano, E., & McCorkle, R. (2015). The five steps of comprehensive psychosocial distress screening. Current Oncology Reports, 17, 22.

    Article  Google Scholar 

  • Lee, J.-Y., Jung, D., Kim, W.-H., Lee, H.-J., Noh, D.-Y., & Ham, B.-J. (2016). Correlates of oncologist-issued referrals for psycho-oncology services: What we learned from the electronic voluntary screening and referral system for depression (eVSRS-D). Psycho-Oncology, 25, 170–178.

    Article  PubMed  Google Scholar 

  • Lyons, K. D., Bakitas, M., Hegel, M. T., Hanscom, B., Hull, J., & Ahles, T. A. (2009). Reliability and validity of the Functional Assessment of Chronic Illness Therapy-Palliative care (FACIT-Pal) scale. Journal of Pain and Symptom Management, 37, 23–32.

    Article  PubMed  Google Scholar 

  • Mercadante, S., Vitrano, V., & Catania, V. (2010). Sexual issues in early and late stage cancer: A review. Supportive Care in Cancer, 18, 659–665.

    Article  PubMed  Google Scholar 

  • Mitchell, A. J. (2007). Pooled results from 38 analyses of the accuracy of Distress Thermometer and other ultra-short methods for detecting cancer-related mood disorders. Journal of Clinical Oncology, 25, 4670–4681.

    Article  PubMed  Google Scholar 

  • Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. Lancet Oncology, 12, 160–174.

    Article  PubMed  Google Scholar 

  • Mitchell, A. J., Meader, N., Davies, E., Clover, K., Carter, G. L., Loscalzo, M. J., … Zabora, J. (2012). Meta-analysis of screening and case finding tools for depression in cancer: Evidence based recommendations for clinical practice on behalf of the Depression in Cancer Care consensus group. Journal of Affective Disorders, 140, 149–160.

    Article  PubMed  Google Scholar 

  • National Comprehensive Care Network. (2008). Distress Management. NCCN Clinical Practice Guidelines in Oncology National Comprehensive Cancer Network. Retrieved from https://www.nccn.org/professoinals/physician_gls/pdf/distress.pdf

  • Neuss, M. N., Polovich, M., McNiff, K., Esper, P., Gilmore, T. R., LeFebvre, K. B., … Jacobson, J. O. (2013). 2013 updated American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards including standards for the safe administration and management of oral chemotherapy. Journal of Oncology Practice, 9(2 Suppl), 5s–13s.

    Article  PubMed  PubMed Central  Google Scholar 

  • Okuyama, S., Jones, W., & Tran, Z. V. (2015). Psychosocial telephone interventions for patients with cancer and survivors: A systematic review. Psycho-Oncology, 24, 857–870.

    Article  PubMed  Google Scholar 

  • Parker, K. P., Bliwise, D. L., Ribeiro, M., Jain, S. R., Vena, C. I., Kohles-Baker, M. K., … Harris, W. B. (2008). Sleep/Wake patterns of individuals with advanced cancer measured by ambulatory polysomnography. Journal of Clinical Oncology, 26, 2464–2472.

    Article  PubMed  Google Scholar 

  • Piet, J., Würtzen, H., & Zachariae, R. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 80, 1007–1020.

    Article  PubMed  Google Scholar 

  • Pollak, K. I., Arnold, R. M., Jeffreys, A. S., Alexander, S. C., Olsen, M. K., Abernethy, A. P., … Tulsky, J. A. (2007). Oncologist communication about emotion during visits with patients with advanced cancer. Journal of Clinical Oncology, 25, 5748–5542.

    Article  PubMed  Google Scholar 

  • Qaseem, A., Snow, V., Shekelle, P., Casey, D. E., Jr., Cross, J. T., Jr., Owens, D. K., … Shekelle, P. (2008). Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 148, 141–146.

    Article  PubMed  Google Scholar 

  • Radloff, L. S. (1977). The CESD scale: A self report scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Ryan, D. A., Gallagher, P., Wright, S., & Cassidy, E. M. (2012). Sensitivity and specificity of the Distress Thermometer and a two-item depression screen (Patient Health Questionnaire-2) with a “help” question for psychological distress and psychiatric morbidity in patients with advanced cancer. Psycho-Oncology, 21, 1275–1284.

    Article  PubMed  Google Scholar 

  • Savard, M.-H., Savard, J., Simard, S., & Ivers, H. (2005). Empirical validation of the insomnia severity index in cancer patients. Psycho-Oncology, 14, 429–441.

    Article  PubMed  Google Scholar 

  • Savard, J., Simard, S., Giguère, I., Ivers, H., Morin, C. M., Maunsell, E., … Marceau, D. (2006). Randomized clinical trial on cognitive therapy for depression in women with metastatic breast cancer: Psychological and immunological effects. Palliative and Supportive Care, 4, 219–237.

    Article  PubMed  Google Scholar 

  • Seow, H., Barbera, L., Sutradhar, R., Howell, D., Dudgeon, D., Atzema, C., … Earle, C. (2011). Trajectory of performance status and symptom scores for patients with cancer during the last six months of life. Journal of Clinical Oncology, 29, 1151–1158.

    Article  PubMed  Google Scholar 

  • Sheinfeld Gorin, S. S., Krebs, P., Badr, H., Janke, E. A., Jim, H. S. L., Spring, B., … Jacobsen, P. B. (2012). Meta-analysis of psychosocial interventions to reduce pain in patients with cancer. Journal of Clinical Oncology, 30, 539–547.

    Article  PubMed  Google Scholar 

  • Sherman, A. C., Merluzzi, T. V., Pustejovsky, J. E., Park, C. L., George, L., Fitchett, G., … Salsman, J. M. (2015). A meta-analytic review of religious or spiritual involvement and social health among cancer patients. Cancer, 121, 3779–3788.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sherman, A. C., & Simonton, S. (2001). Coping with cancer in the family. The Family Journal, 9, 193–200.

    Article  Google Scholar 

  • Simonton, S., & Sherman, A. (2000). An integrated model of group treatment for cancer patients. International Journal of Group Psychotherapy, 50, 487–506.

    Article  PubMed  Google Scholar 

  • Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097.

    Article  PubMed  Google Scholar 

  • Steinhauser, K. E., Alexander, S. C., Byock, I. R., George, L. K., Olsen, M. K., & Tulsky, J. A. (2008). Do preparation and life completion discussions improve functioning and quality of life in seriously ill patients? Pilot randomized controlled trial. Journal of Palliative Medicine, 11, 1234–1240.

    Article  PubMed  Google Scholar 

  • Teno, J. M., Fisher, E. S., Hamel, M. B., Coppola, K., & Dawson, N. V. (2002). Medical care inconsistent with patients’ treatment goals: Association with 1-year Medicare resource use and survival. Journal of the American Geriatric Society, 50, 496–500.

    Article  Google Scholar 

  • Tuinman, M. A., Van Nuenen, F. M., Hagedoorn, M., & Hoekstra-Weebers, J. E. H. M. (2015). Distress, problems and referral wish of cancer patients: Differences according to relationship status and life phase. Psycho-Oncology, 24, 699–704.

    Article  PubMed  Google Scholar 

  • Turner, J., Kelly, B., Clarke, D., Yates, P., Aranda, S., Jolley, D., … McFadyen, L. (2011). A randomized trial of a psychosocial intervention for cancer patients integrated into routine care: The PROMPT study (promoting optimal outcomes in mood through tailored psychosocial therapies). BioMed Central Cancer, 11, 48.

    PubMed  PubMed Central  Google Scholar 

  • van den Hurk, D. G., Schellekens, M. P., Molema, J., Speckens, A. E., & van der Drift, M. A. (2015). Mindfulness-based stress reduction for lung cancer patients and their partners: Results of a mixed methods pilot study. Palliative Medicine, 29, 652–660.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wadhwa, D., Burman, D., Swami, N., Rodin, G., Lo, C., & Zimmermann, C. (2013). Quality of life and mental health in caregivers of outpatients with advanced cancer. Psycho-Oncology, 22, 403–410.

    PubMed  Google Scholar 

  • Weeks, J. C., Catalano, P. J., Cronin, A., Finkelman, M. D., Mack, J. W., Keating, N. L., … Schrag, D. (2012). Patient’s expectations about effects of chemotherapy for advanced cancer. New England Journal of Medicine, 267, 1616–1625.

    Article  Google Scholar 

  • Wright, A. A., Zhang, B., Ray, A., Mack, J. W., Trice, E., Balboni, T., … Prigerson, H. G. (2008). Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. Journal of the American Medical Association, 300, 1665–1673.

    Article  PubMed  PubMed Central  Google Scholar 

  • Yellen, S. B., Cella, D. F., Webster, K., Blendowski, C., & Kaplan, E. (1997). Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system. Journal of Pain and Symptom Management, 13, 63–74.

    Article  PubMed  Google Scholar 

  • Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., & Carlson, L. E. (2014). A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: The eTherapy for cancer applying mindfulness trial. Psychosomatic Medicine, 76, 257–267.

    Article  PubMed  Google Scholar 

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Correspondence to Allen C. Sherman Ph.D. .

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Sherman, A.C., Hufsteader, A., Simonton-Atchley, S. (2018). Advanced Cancer. In: Maragakis, A., O'Donohue, W. (eds) Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-70539-2_3

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