Management of Psychosocial Distress by Oncologists

Muriel, M.P.H. Anna C.; Hwang, Boyoung; Kornblith, Alice B.; Greer, Joseph A.; Greenberg, Donna; Temel, Jennifer S.; Schapira, Lidia; Pirl, William F.

doi:10.1176/appi.ps.60.8.1132

Cited by 31 publications

(19 citation statements)

References 7 publications

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“…Barriers to routine screening for distress in outpatient settings have been located within healthcare providers, health-care institutions, and patients. Significant barriers involve the reliance of health-care providers upon clinical observation rather than use of standardized instruments in screening for distress [5] and a lack of familiarity with screening instruments regarding the length, interpretation, or ways in which to respond to results [6]. In addition to knowledge deficits, screening may not occur when time constraints, lack of staffing or an institutional focus on providing only biomedical intervention exist [7,8].…”

Section: Psychological Distress In Outpatient Settingsmentioning

confidence: 99%

Screening for psychological and physical distress in a cancer inpatient treatment setting: a pilot study

Clark

Rochon

Brethwaite³

et al. 2011

Psycho-Oncology

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Objective: Although several large distress studies have been conducted in outpatient oncology treatment settings, there are few, if any, studies that describe the incidence of psychological and physical distress in the inpatient oncology treatment setting. This pilot study hypothesized that inpatients experience levels of psychological distress that are equivalent to or greater than those reported in large outpatient studies. The study also sought to contribute to physical and psychological symptom distress incidence data.Methods: Using two measures designed to screen for psychological and physical distress, the Brief Symptom Inventory-18 and the M.D. Anderson Symptom Inventory, 52 oncology patients were screened within 24 h of admission to a hospital oncology unit.Results: Nearly two-thirds of the inpatient respondents reported levels of psychological distress that were not only within the clinically significant range but also at a rate that was nearly double that found in the outpatient distress screening studies that have been conducted to date. The physical symptoms most often rated at the severe level included fatigue (34.6%), pain (27.4%), and dry mouth (25.5%).Conclusions: Failure to screen for psychological and physical symptom distress has lead to under recognition of a population that may have higher levels of distress than their outpatient counterparts and could potentially lead to uneven access to biopsychosocial support. Results support the notion that routinely screening for psychological and physical distress should become a first step in the assessment of the biopsychosocial needs of people receiving inpatient treatment for cancer.

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Section: Psychological Distress In Outpatient Settingsmentioning

confidence: 99%

Screening for psychological and physical distress in a cancer inpatient treatment setting: a pilot study

Clark

Rochon

Brethwaite³

et al. 2011

Psycho-Oncology

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“…Pharmacological techniques include benzodiazepines, antidepressants, neuroleptics, beta-adrenergic receptor antagonists, anticonvulsants, buspirone, antihistamines, and d-cycloserine (Muriel, Hwang, Kornblith, Greer, Greenberg, Temel, et al, 2009;Papp, 2007).…”

Section: Stress Managementmentioning

confidence: 99%

Effects of Exercise Training and Social Environment on Stress Resilience in Male and Female Long-Evans Rats

Long¹

2010

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The purpose of this doctoral dissertation research project was to determine if exercise training or social enrichment could enhance stress resilience in rats. The specific aims of this experiment were to evaluate: (1) how combined sleep disturbance and predator stress affect biological and psychological components of the stress response; (2) if exercise training attenuates the biological and psychological components of the stress response and promotes recovery following exposure to sleep disturbance and predator stress; (3) if social support attenuates the biological and psychological components of the stress response and promotes recovery following exposure to sleep disturbance and predator stress; and (4) sex differences in the effects of sleep disturbance and predator stress on biological and psychological components of the stress response.The independent variables were: (1) exercise training (yes, no), (2) social enrichment (pair, individual housing), (3) sex (female, male), and (4) stress period (pre-stress, stress, post-stress). A combined sleep disturbance and predator stressor was administered over a 2 week period. The sleep disturbance stressor was administered daily during the animals' sleep period. The predator stress was administered intermittently during the animals' active period. This iv stressor was designed to be analogous to conditions that military personnel experience during combat deployments. Biological and psychological variables were measured before, during, and after the stress period. The biological dependent variables were corticosterone (fecal and serum) and body weight.

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“…Another study, conducted among persons with cancer treated in a public hospital, showed that only 12% of those diagnosed with depression received antidepressant medications, and even a smaller percentage (5%) saw a mental health counselor 28 . Muriel et al 29 found that while oncologists estimated that over a third of their patients experience psychological distress needing intervention, only half of them reported making a referral to the mental health services.…”

Section: Introductionmentioning

confidence: 99%

Cancer and common mental disorders in the community: Results of the Israel-World Mental Health Survey

et al. 2012

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-Background and Objectives: To study common mental disorders (CMD) and other mental health-related variables among community residents with active cancer, cancer survivors and cancer-free respondents.Methods: Data were extracted from the Israeli component of the 28-country World Mental Health Survey. The sample included 165 respondents who reported ever having cancer and 2,282 cancer-free respondents, all aged 39 years and older. The WHO/Composite International Diagnostic Interview (CIDI) was used to determine the prevalence rate of CMD. Emotional distress (ED) was ascertained with the GHQ-12. Also, respondents were asked about sleep disturbances and mental health service utilization.Results: Respondents with active cancer were more likely to endorse CMD in the past year than cancer-free respondents, 22.1% SE = 6.1 and 7.2% SE = 2.5, respectively (adjusted odds ratio = 2.6, 95% CI 1.2-5.6); to have higher ED scores, M = 27.1 SE = 1.3 and M = 19.8 SE = 0.3, respectively (Wald F = 16.7, p < 0.001); and higher prevalence rates of sleep disturbances, 64.7% SE = 6.5% and 31.5% SE = 4.6%, respectively (adjusted odds ratio = 2.1, 95% CI 1.1-3.9). Cancer survivors did not significantly differ from cancer-free respondents on the study variables. Despite the emotional toll, there were no differences in mental health service utilization among the three cancer groups.Conclusions: Respondents with active cancer residing in the community show enhanced psychopathology. Study findings highlight a double need: to adequately assess mental health problems in persons with cancer and to bridge the treatment gap.

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Management of Psychosocial Distress by Oncologists

Cited by 31 publications

References 7 publications

Screening for psychological and physical distress in a cancer inpatient treatment setting: a pilot study

Screening for psychological and physical distress in a cancer inpatient treatment setting: a pilot study

Effects of Exercise Training and Social Environment on Stress Resilience in Male and Female Long-Evans Rats

Cancer and common mental disorders in the community: Results of the Israel-World Mental Health Survey

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