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Management of psychosocial distress by oncologists

Anna C Muriel1, Vivian S Hwang, Alice Kornblith

  • 1Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, 44 Binney St., Boston, MA 02115, USA. amuriel@partners.org

Psychiatric Services (Washington, D.C.)
|August 4, 2009
PubMed
Abstract

Insights

Oncologists provide psychosocial care, but only half have affiliated mental health services. Many refer patients or prescribe medication for distress, indicating a need for better integration of mental health support in cancer care.

Area of Science:

  • Oncology
  • Psychosocial Oncology
  • Cancer Care Delivery

Background:

  • Psychosocial distress is common in cancer patients.
  • Understanding oncologists' role in managing this distress is crucial for improving patient care.

Purpose of the Study:

  • To survey oncologists regarding their management of psychosocial distress.
  • To assess adherence to National Comprehensive Cancer Network guidelines for psychosocial care.

Main Methods:

  • A random sample of 1,000 oncologists participated in an online survey.
  • Regression analyses identified predictors of psychosocial care provision.

Main Results:

  • 46% of oncologists responded, with most in community practice.
  • Respondents estimated over one-third of patients experience distress.
  • 50% reported affiliated mental health services; 47% initiated referrals, 48% prescribed medication.

Conclusions:

  • Most oncologists offer some psychosocial care.
  • Limited availability of affiliated mental health services impacts comprehensive care.
  • Further integration of mental health support is needed.

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