Abstract: |
Advances in cancer treatment have resulted in a rapidly growing population of more than 14 million survivors. People are living longer after cancer diagnosis. Younger patients struggle with diversions from the normal developmental milestones in career and relationships, while older patients must deal with the dual challenges of aging and cancer. Cancer's transition from likely death to potential cures and chronic illnesses that people could live with rather than die from, has increased interest in the disease's impact on psychosocial issues and quality of life, rather than just longevity. The most common psychosocial concerns in people with cancer are adjustment to a new diagnosis or recurrence or progression of disease, depression, anxiety, delirium, and many quality-of-life changes that may be due to the cancer or cancer treatments. This chapter reviews the diagnosis and management of the psychosocial stressors most often encountered by oncology treatment teams called on to address these issues when mental health caregivers are not necessarily available. Psychotherapeutic, psychopharmacologic, and behavioral and supportive interventions are discussed for people undergoing active cancer treatment, long-term survivors, cured patients, people at end of life, and oncology staff. © 2018 The American Cancer Society. All rights reserved. |