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Practice Guideline
. 2019 Oct 1;17(10):1229-1249.
doi: 10.6004/jnccn.2019.0048.

Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology

Michelle B Riba  1 , Kristine A Donovan  2 , Barbara Andersen  3 , IIana Braun  4 , William S Breitbart  5 , Benjamin W Brewer  6 , Luke O Buchmann  7 , Matthew M Clark  8 , Molly Collins  9 , Cheyenne Corbett  10 , Stewart Fleishman  11 , Sofia Garcia  12 , Donna B Greenberg  13 , Rev George F Handzo  11 , Laura Hoofring  14 , Chao-Hui Huang  15 , Robin Lally  16 , Sara Martin  17 , Lisa McGuffey  18 , William Mitchell  19 , Laura J Morrison  20 , Megan Pailler  21 , Oxana Palesh  22 , Francine Parnes  23 , Janice P Pazar  24 , Laurel Ralston  25 , Jaroslava Salman  26 , Moreen M Shannon-Dudley  27 , Alan D Valentine  28 , Nicole R McMillian  29 , Susan D Darlow  29
Affiliations
Practice Guideline

Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology

Michelle B Riba et al. J Natl Compr Canc Netw. .

Abstract

Distress is defined in the NCCN Guidelines for Distress Management as a multifactorial, unpleasant experience of a psychologic (ie, cognitive, behavioral, emotional), social, spiritual, and/or physical nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment. Early evaluation and screening for distress leads to early and timely management of psychologic distress, which in turn improves medical management. The panel for the Distress Management Guidelines recently added a new principles section including guidance on implementation of standards of psychosocial care for patients with cancer.

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