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Integrated Behavioral Medicine in Cancer Care: Utilizing a Training Program Model to Provide Psychological Services in an Urban Cancer Center

  • Integrative Care (C Lammersfeld, Section Editor)
  • Published:
Current Oncology Reports Aims and scope Submit manuscript

Abstract

Psycho-oncology has come of age as its own unique subspecialty under the umbrella of oncology, vastly refining our knowledge regarding the psychosocial impact of cancer and fostering acceptance of the psychological underpinnings of the cancer experience, in turn improving the overall quality of cancer care. The importance of integrating psychological practice into the comprehensive treatment of cancer has become readily apparent, and psychosocial support services are increasing in quantity and breadth. It is the aim of this article to present a cogent argument for the proliferation of Integrated Behavioral Medicine (IBM) programs in both inpatient and outpatient clinical cancer treatment centers via an in-depth discussion of a successful IBM program including analysis of program structure, service delivery model and description of clinical services provided, and a longitudinal review of referral trends.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. • American Cancer Society. Cancer Facts & Figures 2018. Retrieved January 13, 2018 from http://www.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2018/.

  2. Charmaz K. Experiencing chronic illness. In: Albrecht GL, Fitzpatrick R, Scrimshaw SC, editors. Handbook of social studies in health and medicine. Thousand Oaks: Sage Publications; 2000.

    Google Scholar 

  3. Stanton AL, Collins CA, Sworowski LA. Adjustment to chronic illness: theory and research handbook of health psychology. Mahwah: Lawrence Erlbaum Associates; 2001.

    Google Scholar 

  4. Kornblith AB, Herndon JE, Zuckerman E, Cella DF, Cherin E, Wolchok S, et al. Comparison of psychosocial adaptation of advanced stage Hodgkin’s disease and acute leukemia survivors. Ann Oncol. 1998;9(3):297–306.

    Article  CAS  PubMed  Google Scholar 

  5. Spiegel D, Giese-Davis J. Depression and cancer: mechanisms and disease progression. Biol Psychiatry. 2003;54(3):269–82.

    Article  PubMed  Google Scholar 

  6. Hegel MT, Moore CP, Collins ED, Kearings S, Gilloc KL, Riggs RL, et al. Distress, psychiatric syndromes, and impairment of function in when with newly diagnosed breast cancer. Cancer. 2006;107(12):2924–31.

    Article  PubMed  Google Scholar 

  7. Zabora J, BrintzenhofeSzoc K, Curbow B, Hooker C, Piantadosi S. The prevalence of psychological distress by cancer site. Psychooncology. 2001;10(1):19–28.

    Article  CAS  PubMed  Google Scholar 

  8. • Mehnert A, Brähler E, Faller H, Härter M, Keller M, Schulz H, et al. J Clin Oncol. 2014;32(31):3540–6. This is the most recent study to confirm prevalence of significant psychological distress in cancer patients across diagnoses. It highlights reliability of prevalence rates across cancer types and emphasizes the need for psycho-oncological interventions.

    Article  PubMed  Google Scholar 

  9. Fangand CY, Schnoll RA. Impact of psychological distress on outcomes in cancer patients. Expert Rev Pharmacoecon Outcomes Res. 2014;2(5):495–506. https://doi.org/10.1586/14737167.2.5.495.

    Article  Google Scholar 

  10. • Compen FR, Adang EMM, Bisseling EM, Van der Lee ML, Speckens AEM. Exploring associations between psychiatric disorder, psychological distress, and health care utilization in cancer patients. Psycho-Oncology. 2018;1–8. https://doi.org/10.1002/pon.4591. This study is the most recent to establish and explore an association between psychological distress and health care utilization and related costs.

  11. Society of Behavioral Medicine. About Behavioral Medicine. Retrieved May 19, 2016 from http://www.sbm.org/.

  12. Holland JC. History of psycho-oncology: overcoming attitudinal and conceptual barriers. Psychosom Med. 2002;64:206–21.

    Article  PubMed  Google Scholar 

  13. McMahon C, Harralson T, Dietzen L, Watson R, Fizur P, Gilrain K, et al. Beyond distress assessment: Leveraging technology for psychosocial screening and dynamic referral. Ann Behav Med. 2017;51(s1):A029. p. S66.

    Google Scholar 

  14. McMahon C, Harralson T, Scott K, Gilrain K, Fizur P, Redlus M. Empowering breast cancer patients with wearable technology: health literacy, communication, and connection: A pilot study. Ann Behav Med. 2017;51(s1):B033. p. S955.

    Google Scholar 

  15. Harralson T, Scott K, McMahon C, Gilrain K, Fizur P, Redlus M. Development of a mobile app to engage and empower breast cancer patients. Ann Behav Med. 2017;51(s1):B112. p. S1093.

    Google Scholar 

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Correspondence to Cori E. McMahon.

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Conflict of Interest

Elisabeth S. Markman is the daughter of Dr. Maurie Markman, Editor-in-Chief of Current Oncology Reports.

David A. Moore declares that he has no conflict of interest.

Cori E. McMahon is now Vice President of Clinical Services for Tridiuum, Inc., and during the research partnership with Tridiuum on the emPOWER study, she also served as independent consultant for separate behavioral health technology projects for Tridiuum. Dr. McMahon is the former Director of Behavioral Medicine at MD Anderson at Cooper University Hospital and is now serving the Department of Infectious Disease.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Integrative Care

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Markman, E.S., Moore, D.A. & McMahon, C.E. Integrated Behavioral Medicine in Cancer Care: Utilizing a Training Program Model to Provide Psychological Services in an Urban Cancer Center. Curr Oncol Rep 20, 31 (2018). https://doi.org/10.1007/s11912-018-0677-y

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  • DOI: https://doi.org/10.1007/s11912-018-0677-y

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