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CA Cancer J Clin 2008; 58:214-230
doi: 10.3322/CA.2008.0003
© 2008 American Cancer Society
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Psychosocial Interventions for Anxiety and Depression in Adult Cancer Patie...
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Psychosocial Interventions for Anxiety and Depression in Adult Cancer Patients

Achievements and Challenges

Paul B. Jacobsen, PhD and Heather S. Jim, PhD

Dr. Jacobsen is Professor, Department of Psychology, University of South Florida; and Program Leader, Health Outcomes and Behavior Program, Moffitt Cancer Center, Tampa, FL.
Dr. Jim is Assistant Professor, Department of Interdisciplinary Oncology, University of South Florida; and Member, Health Outcomes and Behavior Program, Moffitt Cancer Center, Tampa, FL.

Disclosure: The authors report no conflicts of interest.

Published online through CA First Look at http://CAonline.AmCancer.Soc.org.
To earn free CME credit or nursing contact hours for successfully completing the online quiz based on this article, go to http://CME.AmCancerSoc.org.

Psychosocial care is increasingly recognized as an essential component of the comprehensive care of the individual with cancer. Improving patients' access to psychosocial care is important; however, ensuring that the care made available has been shown to be effective is just as important. Accordingly, the goal of this review is to describe an evidence-based approach to the psychosocial care of adults with cancer. The focus is on anxiety and depression because a considerable body of research has examined the impact of psychosocial interventions on these outcomes. After describing the sources, assessment, and prevalence of anxiety and depression in adults with cancer and presenting existing clinical practice guidelines for their management, previous publications that systematically reviewed evidence of the efficacy of psychosocial interventions are summarized. The use of these publications to derive specific recommendations for the use of psychosocial interventions in the management of anxiety and depression is then illustrated. In addition, examples are provided of interventions that are effective against anxiety and depression and have good potential for dissemination in routine clinical practice. The review concludes with a discussion of future directions for the continued development of an evidence-based approach to the psychosocial care of people with cancer.







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