Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology
Michelle B. Riba(University of Michigan), Kristine A. Donovan(Moffitt Cancer Center), Barbara L. Andersen(The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute), IIana Braun(Dana-Farber Brigham Cancer Center), William Breitbart(Memorial Sloan Kettering Cancer Center), Benjamin W. Brewer(University of Colorado Cancer Center), Luke Buchmann(University of Utah), Matthew M. Clark, Molly Collins(Fox Chase Cancer Center), Cheyenne Corbett(Cancer Institute (WIA)), Stewart B. Fleishman, Sofia F. Garcia(Robert H. Lurie Comprehensive Cancer Center of Northwestern University), Donna Greenberg(Massachusetts General Hospital), Rev. George F. Handzo, Laura Hoofring(Sidney Kimmel Comprehensive Cancer Center), Chao‐Hui Huang(University of Colorado Cancer Center), Robin M. Lally(Susan Thompson Buffett Foundation), Sara Martin(Breast Cancer Research Foundation), Lisa McGuffey(University of Wisconsin Carbone Cancer Center), William M. Mitchell(University of California San Diego), Laura Morrison(Smilow Cancer Hospital), Megan E. Pailler, Oxana Palesh(Cancer Institute (WIA)), Francine Parnes, Janice P. Pazar(St. Jude Children's Research Hospital), Laurel Ralston(Cleveland Clinic), Jaroslava Salman(City Of Hope National Medical Center), Moreen Shannon-Dudley(Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa), Alan Valentine(The University of Texas MD Anderson Cancer Center), Nicole R. McMillian(National Comprehensive Cancer Network), Susan Darlow(National Comprehensive Cancer Network)
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Abstract
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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