Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology
Open accessAbstract
Distress is defined in the NCCN Guidelines for Distress Management as a multifactorial, unpleasant experience of a psychologic (ie, cognitive, behavioral, emotional), social, spiritual, and/or physical nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment. Early evaluation and screening for distress leads to early and timely management of psychologic distress, which in turn improves medical management. The panel for the Distress Management Guidelines recently added a new principles section including guidance on implementation of standards of psychosocial care for patients with cancer.
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These factors can have negative consequences for the disease course, including increased frequency and duration of hospital stays, lower adherence to treatment recommendations, difficulties coping, reduced quality of life, and increased mortality.
“These factors can have negative consequences for the disease course, including an increase in the frequency and duration of hospital stays, lower adherence to treatment recommendations, difficulties in coping with the disease, reduced quality of life and an increase in mortality [9–14].”
From The BrEasT cancer afTER-CARE (BETTER-CARE) programme to improve breast cancer follow-up: design and feasibility study results of a cluster-randomised complex intervention trial (2024) · cites this paper as [10]
In “Psychosocial Problems in Adult Patients With Cancer” (page not provided), the guidelines link distress to treatment nonadherence, longer hospital stays, poorer quality of life, and possibly worse survival. They mention extra physician-office and emergency-room visits, but not more frequent hospital stays. They also say preexisting psychological conditions can affect coping, rather than establishing difficulty coping as a consequence of distress. (LLM, conf=0.87)
Experimental — accuracy not yet measuredUncertainty, fear of recurrence or progression, symptoms, functional disruption, and financial strain can contribute to distress, anxiety, depression, sleep disturbance, and unmet psychosocial needs.
“Uncertainty, fear of recurrence or progression, symptoms, functional disruption, and financial strain can contribute to distress, anxiety, depression, sleep disturbance, and unmet psychosocial needs”
Psychological distress and unmet psychosocial needs are common across the cancer continuum.
“Psychological distress and unmet psychosocial needs are common across the cancer continuum.”
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Research works printed but not linked: 2
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Patterson, P., McDonald, F. E. J., Allison, K. R., Bibby, H., Osborn, M. P., Matthews, K. A., Sansom‐Daly, U. M., Thompson, K., Plaster, M., & Anazodo, A. C. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.872830 · Cited by 28 · see citing works
Cancer-Related Lymphedema and Psychological Distress
Lau, K., Patel, S. R., Rogers, K., Smith, S. R., & Riba, M. (2024) · Current Psychiatry Reports · doi:10.1007/s11920-024-01543-y · Cited by 29 · see citing works
Self-citationThombs, B. D., & Rice, D. B. (2016) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1504 · Cited by 29 · see citing works
- Authors
- Riba, M. B., Donovan, K. A., Andersen, B., Braun, I., Breitbart, W. S., Brewer, B. W., Buchmann, L. O., Clark, M. M., Collins, M., Corbett, C., Fleishman, S., Garcia, S., Greenberg, D. B., Handzo, R. G. F., Hoofring, L., Huang, C.-H., Lally, R., Martin, S., McGuffey, L., Mitchell, W., Morrison, L. J., Pailler, M., Palesh, O., Parnes, F., Pazar, J. P., Ralston, L., Salman, J., Shannon-Dudley, M. M., Valentine, A. D., McMillian, N. R., & Darlow, S. D.
- Affiliations
- University of Michigan (US)
- Moffitt Cancer Center (US)
- The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (US)
- Dana-Farber Brigham Cancer Center (US)
- Memorial Sloan Kettering Cancer Center (US)
- University of Colorado Cancer Center (US)
- Huntsman Cancer Institute (US)
- Northwestern University (US)
- Fox Chase Cancer Center (US)
- Duke Cancer Institute (US)
- 11Consultant;
- Robert H. Lurie Comprehensive Cancer Center of Northwestern University (US)
- Massachusetts General Hospital (US)
- Sidney Kimmel Comprehensive Cancer Center (US)
- 15O’Neal Comprehensive Cancer Center at UAB;
- Fred and Pamela Buffett Cancer Center (US)
- Vanderbilt-Ingram Cancer Center (US)
- University of Wisconsin Carbone Cancer Center (US)
- University of California San Diego (US)
- Smilow Cancer Hospital (US)
- Roswell Park Comprehensive Cancer Center (US)
- Stanford Cancer Institute (US)
- Patient Advocate Foundation (US)
- St. Jude Children's Research Hospital (US)
- Cleveland Clinic (US)
- City Of Hope National Medical Center (US)
- Seattle Cancer Care Alliance (US)
- The University of Texas MD Anderson Cancer Center (US)
- National Comprehensive Cancer Network (US)
- ORCID
- Venue
- Journal of the National Comprehensive Cancer Network
- Publisher
- Harborside Press, LLC
- Published
- 2019-10
- Volume
- 17
- Issue
- 10
- Pages
- 1229-1249
- ISSN
- 1540-1405 (ISSN-L)
- 1540-1413
- PMC
- PMC6907687
- OpenAlex
- W2979513009
- Cited by
- 871
- References
- 192
- Citations by year
- 2026: 91 · 2025: 125 · 2024: 119 · 2023: 143 · 2022: 147 · 2021: 116 · 2020: 61 · 2019: 23 · 2018: 6 · 2017: 7 · 2016: 10 · 2015: 7 · 2014: 3 · 2013: 5 · 2012: 1
- FWCI
- 36.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the National Comprehensive Cancer Network (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P30CA008748)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- distress management, psychological distress, cancer patients, psychosocial care, distress screening, coping with cancer, spiritual distress, standard of care, NCCN guidelines
- MeSH terms
- Psychological Distress, Female, Humans, Male, Medical Oncology
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