Abstract: |
(from the chapter) Depression is a debilitating and frequent condition in cancer patients. There is little doubt that it is poorly recognized, poorly treated and often trivialized (I'd be depressed if I were in Mr. Xs shoes too). Such attitudes serve to increase suffering by failing to recognize the full impact of depression on the person with cancer. Screening can be an important part of helping to improve the recognition of depression. But, while necessary, it is surely not sufficient in bringing about real change in and of itself. Like in so many therapeutic areas, screening for problems which medical staff members are unprepared to act upon yields little in the way of focused intervention. Several innovative programs around the world have helped to remedy the problem by, for example, following screening with automatic referral to a depression expert staff member (often an oncology nurse), to improve treatment. There is still a need for algorithmic approaches to be followed by oncologists in smaller and less sophisticated settings, where tools that might facilitate triage and treatment can give staff the ability to arrange appropriate follow-up for cancer patients with depression. (PsycINFO Database Record (c) 2011 APA, all rights reserved). |