Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin 2018;68:7–30. - PubMed
    1. Dantzer R, O’Connor JC, Freund GG, et al. From inflammation to sickness and depression: when the immune system subjugates the brain. Nat Rev Neurosci 2008;9:46–56. - PMC - PubMed
    1. Miller K, Massie MJ. Depression and anxiety. Cancer J 2006;12:388–397. - PubMed
    1. Reiche EM, Nunes SO, Morimoto HK. Stress, depression, the immune system, and cancer. Lancet Oncol 2004;5:617–625. - PubMed
    1. Hawkins NA, Soman A, Buchanan Lunsford N, et al. Use of medications for treating anxiety and depression in cancer survivors in the United States. J Clin Oncol 2017;35:78–85. - PMC - PubMed

Publication types