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Management of Anxiety and Depression in Adult Cancer Patients: Toward an Evidence-Based Approach

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Oncology

Abstract

Anxiety and depression can be viewed as part of a broader construct of psychologic distress. We chose to focus on anxiety and depression rather than on psychologic distress for several reasons. First, the literature on anxiety and depression can be more readily identified than the literature on the broader and less well defined construct of psychologic distress. Second, as described in the following, criteria have been established for the diagnosis of clinical syndromes of anxiety and depression; no similar criteria exist for the diagnosis of clinical syndromes of psychologic distress. Third, as described here, this approach allows us to build upon the findings of several previous systematic reviews and meta-analyses that also have focused on psychosocial and pharmacologic approaches to the management of anxiety and depression in adult cancer patients.

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References

  1. Newport DJ, Nemeroff CB. Assessment and treatment of depression in the cancer patient. J Psychosom Res 1998;45:215–237.

    Article  PubMed  CAS  Google Scholar 

  2. Stark DPH, House A. Anxiety in cancer patients. Br J Cancer 2000;83:1261–1267.

    Article  PubMed  CAS  Google Scholar 

  3. Cordova MJ, Andrykowski MA, Kenady DE, et al. Frequency and correlates of posttraumatic-stress-disorder-like symptoms after treatment for breast cancer. J Consult Clin Psychol 1995;63:981–986.

    Article  PubMed  CAS  Google Scholar 

  4. Bottomley A. Depression in cancer patients: a literature review. Eur J Cancer Care 1998;7:181–191.

    Article  CAS  Google Scholar 

  5. Speilberger CD. Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press, 1983.

    Google Scholar 

  6. Beck A, Mendelson M, Mock J, et al. Inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–571.

    PubMed  CAS  Google Scholar 

  7. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Association, 1994.

    Google Scholar 

  8. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–370.

    Article  PubMed  CAS  Google Scholar 

  9. Cleeland CS, Mendoza TR, Wang XS, et al. Assessing symptom distress in cancer patients: the M.D. Anderson Symptom Inventory. Cancer (Phila) 2000;89:1634–1646.

    Article  PubMed  CAS  Google Scholar 

  10. Chang VT, Hwang SS, Feuerman MS, et al. The Memorial Symptom Assessment Scale Short Form (MSAS-SF). Cancer (Phila) 2000;89:1162–1171.

    Article  PubMed  CAS  Google Scholar 

  11. Distress Management Guidelines Panel. Distress management clinical practice guidelines in oncology. J Natl Compr Cancer Netw 2003;1:344–393.

    Google Scholar 

  12. National Breast Cancer Centre and National Cancer Control Initiative. Clinical practice guidelines for the psychosocial care of adults with cancer. Camperdown, Australia: National Breast Cancer Centre, 2003.

    Google Scholar 

  13. Devine EC, Westlake SK. The effects of psychoeducational care provided to adults with cancer: meta-analysis of 116 studies. Oncol Nurs Forum 1995;22:1369–1381.

    PubMed  CAS  Google Scholar 

  14. Sheard T, Maguire P. The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analyses. Br J Cancer 1999;80:1770–1780.

    Article  PubMed  CAS  Google Scholar 

  15. Barsevick AM, Sweeney C, Haney E, et al. A systematic qualitative analysis of psychoeducational interventions for depression in patients with cancer. Oncol Nurs Forum 2002;29:73–84.

    Article  PubMed  Google Scholar 

  16. Carr D, Goudas L, Lawrence D, et al. Management of Cancer Symptoms: Pain, Depression, and Fatigue. Evidence Report/Technology Assessment No. 61. AHRQ Publication No. 02-E032. Rockville, MD: Agency for Health Care Research and Quality, 2002.

    Google Scholar 

  17. Trijsburg RW, van Knippenberg FC, Rijpma SE. Effects of psychological treatment on cancer patients: a critical review. Psychosom Med 1992;54:489–517.

    PubMed  CAS  Google Scholar 

  18. Redd WH, Montgomery GH, DuHamel KN. Behavioral intervention for cancer treatment side effects. J Natl Cancer Inst 2001;93:810–823.

    Article  PubMed  CAS  Google Scholar 

  19. Newell SA, Sanson-Fisher RW, Savolainen NJ. Systematic review of psychological therapies for cancer patients: overview and recommendations for future research. J Natl Cancer Inst 2002;94:558–584.

    PubMed  Google Scholar 

  20. Ly KL, Chidgey J, Addington-Hall J, et al. Depression in palliative care: a systematic review. Part 2. Treatment. Palliat Med 2002;16:279–284.

    Article  PubMed  Google Scholar 

  21. Meyer TJ, Mark MM. Effects of psychosocial interventions with adult cancer patients: A meta-analysis of randomized experiments. Health Psychol 1995;14:101–108.

    Article  PubMed  CAS  Google Scholar 

  22. Rehse B, Pukrop R. Effects of psychosocial interventions on quality of life in adult cancer patients: meta-analysis of 37 published controlled outcome studies. Patient Educ Couns 2003;50:179–186.

    PubMed  Google Scholar 

  23. McNair DM, Lorr M, Droppleman L. Profile of Mood States. San Diego, CA: Educational and Industrial Testing Service, 1992.

    Google Scholar 

  24. Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–571.

    PubMed  CAS  Google Scholar 

  25. Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1977;1:385–401.

    Article  Google Scholar 

  26. Maier W, Buller R, Philipp M, et al. The Hamilton Anxiety Scale: reliability, validity and sensitivity to change in anxiety and depressive disorders. J Affect Disord 1988;14:61–68.

    Article  PubMed  CAS  Google Scholar 

  27. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56–62.

    PubMed  CAS  Google Scholar 

  28. Zung WW. A self-rating depression scale. Arch Gen Psychiatry 1965;12:63–70.

    PubMed  CAS  Google Scholar 

  29. Minagawa H, Uchitomi Y, Yamawaki S, et al. Psychiatric morbidity in terminally ill cancer patients. A prospective study. Cancer (Phila) 1996;78:1131–1137.

    Article  PubMed  CAS  Google Scholar 

  30. Smith MY, Redd WH, Peyser C, et al. Post-traumatic stress disorder in cancer: a review. Psycho-Oncology 1999;8:521–537.

    Article  PubMed  CAS  Google Scholar 

  31. Deimling GT, Kahana B, Bowman KF, et al. Cancer survivorship and psychological distress in later life. Psycho-Oncology 2002;11:479–494.

    Article  PubMed  Google Scholar 

  32. Weissman MM, Markowitz JC. Interpersonal psychotherapy for depression. In: Gotlib IH, Hammen CL (eds) Handbook of Depression. New York: Guilford Press, 2002:404–421.

    Google Scholar 

  33. Beck AT. Cognitive therapy: past, present, and future. In: Mahoney MJ (ed) Cognitive and Constructive Psychotherapies: Theory, Research, and Practice. New York: Springer, 1995:29–40.

    Google Scholar 

  34. Rozans M, Dreisbach A, Letora JJ, et al. Palliative uses of methylphenidate in patients with cancer: a review. J Clin Oncol 2002;20:335–339.

    Article  PubMed  CAS  Google Scholar 

  35. Ali NS, Khalil HZ. Effect of psychoeducational intervention on anxiety among Egyptian bladder cancer patients. Cancer Nurs 1989;12:236–242.

    Article  PubMed  CAS  Google Scholar 

  36. Arakawa S. Relaxation to reduce nausea, vomiting, and anxiety induced by chemotherapy in Japanese patients. Cancer Nurs 1997;20:342–349.

    Article  PubMed  CAS  Google Scholar 

  37. Arathuzik D. Effects of cognitive-behavioral strategies on pain in cancer patients. Cancer Nurs 1994;17:207–214.

    Article  PubMed  CAS  Google Scholar 

  38. Berglund G, Bolund C, Gustafsson U, et al. A randomized study of a rehabilitation program for cancer patients: the’ starting again’ group. Psycho-Oncology 1994;3:109–120

    Article  Google Scholar 

  39. Bindemann S, Soukop M, Kaye SB. Randomised controlled study of relaxation training. Eur J Cancer 1991;27:170–174.

    Article  PubMed  CAS  Google Scholar 

  40. Brown RF, Butow PN, Dunn SM, et al. Promoting patient participation and shortening cancer consultations: a randomised trial. Br J Cancer 2001;85:1273–1279.

    Article  PubMed  CAS  Google Scholar 

  41. Burish TG, Lyles JN. Effectiveness of relaxation training in reducing adverse reactions to cancer chemotherapy. J Behav Med 1981;4:65–78.

    Article  PubMed  CAS  Google Scholar 

  42. Burish TG, Carey MP, Krozely MG, et al. Conditioned side effects induced by cancer chemotherapy: prevention through behavioral treatment. J Consult Clin Psychol 1987;55:42–48.

    Article  PubMed  CAS  Google Scholar 

  43. Cain EN, Kohorn EI, Quinlan DM, et al. Psychosocial benefits of a cancer support group. Cancer (Phila) 1986;57:183–189.

    Article  PubMed  CAS  Google Scholar 

  44. Carey MP, Burish TG. Providing relaxation training to cancer chemotherapy patients: a comparison of three delivery techniques. J Consult Clin Psychol 1987;55:732–737.

    Article  PubMed  CAS  Google Scholar 

  45. Cheung YL, Molassiotis A, Chang AM. The effect of progressive muscle relaxation training on anxiety and quality of life after stoma surgery in colorectal cancer patients. Psycho-Oncology 2003;12:254–266.

    Article  PubMed  Google Scholar 

  46. Christensen DN. Postmastectomy couple counseling: an outcome study of a structured treatment protocol. J Sex Marital Ther 1983;9:266–275.

    PubMed  CAS  Google Scholar 

  47. de Moor C, Sterner J, Hall M, et al. A pilot study of the effects of expressive writing on psychological and behavioral adjustment in patients enrolled in a Phase II trial of vaccine therapy for metastatic renal cell carcinoma. Health Psychol 2002;21:615–619.

    Article  PubMed  Google Scholar 

  48. Decker TW, Cline-Elsen J, Gallagher M. Relaxation therapy as an adjunct in radiation oncology. J Clin Psychol 1992;48:388–393.

    Article  PubMed  CAS  Google Scholar 

  49. Dodd MJ. Efficacy of proactive information on self-care in radiation therapy patients. Heart Lung 1987;16:538–544.

    PubMed  CAS  Google Scholar 

  50. Edelman S, Bell DR, Kidman AD. A group cognitive behaviour therapy programme with metastatic breast cancer patients. Psycho-Oncology 1999;8:295–305.

    Article  PubMed  CAS  Google Scholar 

  51. Edgar L, Rosberger Z, Collet JP. Lessons learned: outcomes and methodology of a coping skills intervention trial comparing individual and group formats for patients with cancer. Int J Psychiatry Med 2001;31:289–304.

    Article  PubMed  CAS  Google Scholar 

  52. Elsesser K, van Berkel M, Sartory G. The effects of anxiety management training on psychological variables and immune parameters in cancer patients: a pilot study. Behav Cognit Psychother 1994;22:13–23.

    Google Scholar 

  53. Evans RL, Connis RT. Comparison of brief group therapies for depressed cancer patients receiving radiation treatment. Public Health Rep 1995;110:306–311.

    PubMed  CAS  Google Scholar 

  54. Fawzy NW. A psychoeducational nursing intervention to enhance coping and affective state in newly diagnosed malignant melanoma patients. Cancer Nurs 1995;18:427–438.

    Article  PubMed  CAS  Google Scholar 

  55. Fukui S, Kugaya A, Okamura H, et al. A psychosocial group intervention for Japanese women with primary breast carcinoma. Cancer (Phila) 2000;89:1026–1036.

    Article  PubMed  CAS  Google Scholar 

  56. Gaston-Johansson F, Fall-Dickson JM, Nanda J, et al. The effectiveness of the comprehensive coping strategy program on clinical outcomes in breast cancer autologous bone marrow transplantation. Cancer Nurs 2000;23:277–285.

    Article  PubMed  CAS  Google Scholar 

  57. Goodwin PJ, Leszcz M, Ennis M, et al. The effect of group psychosocial support on survival in metastatic breast cancer. N Engl J Med 2001;345:1719–1726.

    Article  PubMed  CAS  Google Scholar 

  58. Greer S, Moorey S, Baruch JD, et al. Adjuvant psychological therapy for patients with cancer: a prospective randomised trial. Br Med J 1992;304:675–680.

    CAS  Google Scholar 

  59. Haggmark C, Bohman L, Ilmoni-Brandt K, et al. Effects of information supply on satisfaction with information and quality of life in cancer patients receiving curative radiation therapy. Patient Educ Couns 2001;45:173–179.

    Article  PubMed  CAS  Google Scholar 

  60. Hagopian GA, Rubenstein JH. Effects of telephone call interventions on patients’ well-being in a radiation therapy department. Cancer Nurs 1990;13:339–344.

    Article  PubMed  CAS  Google Scholar 

  61. Heinrich RL, Schag CC. Stress and activity management: group treatment for cancer patients and spouses. J Consult Clin Psychol 1985;53:439–446.

    Article  PubMed  CAS  Google Scholar 

  62. Jacobs C, Ross RD, Walker IM, et al. Behavior of cancer patients: a randomized study of the effects of education and peer support groups. Am J Clin Oncol 1983;6:347–353.

    Article  PubMed  CAS  Google Scholar 

  63. Jacobsen PB, Meade CD, Stein KD, et al. Efficacy and costs of two forms of stress management training for cancer patients undergoing chemotherapy. J Clin Oncol 2002;20:2851–2862.

    Article  PubMed  Google Scholar 

  64. Larson MR, Duberstein PR, Talbot NL, et al. A presurgical psychosocial intervention for breast cancer patients. Psychological distress and the immune response. J Psychosom Res 2000;48:187–194.

    Article  PubMed  CAS  Google Scholar 

  65. Lerman C, Rimer B, Blumberg B, et al. Effects of coping style and relaxation on cancer chemotherapy side effects and emotional responses. Cancer Nurs 1990;13:308–315.

    Article  PubMed  CAS  Google Scholar 

  66. Linn MW, Linn BS, Harris R. Effects of counseling for late stage cancer patients. Cancer (Phila) 1982;49:1048–1055.

    Article  PubMed  CAS  Google Scholar 

  67. Liossi C, White P. Efficacy of clinical hypnosis in the enhancement of quality of life of terminally ill cancer patients. Contemp Hypnosis 2001;18:145–160.

    Article  Google Scholar 

  68. Lyles JN, Burish TG, Krozely MG, et al. Efficacy of relaxation training and guided imagery in reducing the aversiveness of cancer chemotherapy. J Consult Clin Psychol 1982;50:509–524.

    Article  PubMed  CAS  Google Scholar 

  69. Mantovani G, Astara G, Lampis B, et al. Evaluation by multidimensional instruments of health-related quality of life of elderly cancer patients undergoing three different “psychosocial” treatment approaches. A randomized clinical trial. Support Care Cancer 1996;4:129–140

    Article  PubMed  CAS  Google Scholar 

  70. Marchioro G, Azzarello G, Checchin F, et al. The impact of a psychological intervention on quality of life in non-metastatic breast cancer. Eur J Cancer 1996;32A:1612–1615.

    Article  PubMed  CAS  Google Scholar 

  71. McArdle JM, George WD, McArdle CS, et al. Psychological support for patients undergoing breast cancer surgery: a randomised study. Br Med J 1996;312:813–816.

    CAS  Google Scholar 

  72. McHugh P, Lewis S, Ford S, et al. The efficacy of audiotapes in promoting psychological well-being in cancer patients: a randomised, controlled trial. Br J Cancer 1995;71:388–392.

    PubMed  CAS  Google Scholar 

  73. McQuellon RP, Wells M, Hoffman S, et al. Reducing distress in cancer patients with an orientation program. Psycho-Oncology 1998;7:207–217.

    Article  PubMed  CAS  Google Scholar 

  74. Molassiotis A, Yung HP, Yam BM, et al. The effectiveness of progressive muscle relaxation training in managing chemotherapyinduced nausea and vomiting in Chinese breast cancer patients: a randomised controlled trial. Support Care Cancer 2002;10:237–246.

    Article  PubMed  Google Scholar 

  75. Moorey S, Greer S, Watson M, et al. Adjuvant psychological therapy for patients with cancer: outcome at one year. Psycho-Oncology 1994;3:39–46.

    Article  Google Scholar 

  76. Morrow GR. Effect of the cognitive hierarchy in the systematic desensitization treatment of anticipatory nausea in cancer patients: a component comparison with relaxation only, counseling, and no treatment. Cognit Ther Res 1986;10:421–446.

    Article  Google Scholar 

  77. Morrow GR, Morrell C. Behavioral treatment for the anticipatory nausea and vomiting induced by cancer chemotherapy. N Engl J Med 1982;307:1476–1480.

    Article  PubMed  CAS  Google Scholar 

  78. Moynihan C, Bliss JM, Davidson J, et al. Evaluation of adjuvant psychological therapy in patients with testicular cancer: randomised controlled trial. Br Med J 1998;316:429–435.

    CAS  Google Scholar 

  79. Petersen RW, Quinlivan JA. Preventing anxiety and depression in gynaecological cancer: A randomised controlled trial. Br J Obstet Gynaecol 2002;109:386–394.

    Google Scholar 

  80. Pruitt BT, Waligora-Serafin B, McMahon T, et al. An educational intervention for newly-diagnosed cancer patients undergoing radiotherapy. Psycho-Oncology 1993;2:55–62.

    Article  Google Scholar 

  81. Rawl SM, Given BA, Given CW, et al. Intervention to improve psychological functioning for newly diagnosed patients with cancer. Oncol Nurs Forum 2002;29:967–975.

    Article  PubMed  Google Scholar 

  82. Richardson MA, Post-White J, Grimm EA, et al. Coping, life attitudes, and immune responses to imagery and group support after breast cancer treatment. Altern Ther Health Med 1997;3:62–70.

    PubMed  CAS  Google Scholar 

  83. Sandgren AK, McCaul KD. Short-term effects of telephone therapy for breast cancer patients. Health Psychol 2003;22:310–315.

    Article  PubMed  Google Scholar 

  84. Sandgren AK, McCaul KD, King B, et al. Telephone therapy for patients with breast cancer. Oncol Nurs Forum 2000;27:683–638.

    PubMed  CAS  Google Scholar 

  85. Simpson JS, Carlson LE, Trew ME. Effect of group therapy for breast cancer on healthcare utilization. Cancer Pract 2001;9:19–26.

    Article  PubMed  CAS  Google Scholar 

  86. Smith M, Casey L, Johnson D, et al. Music as a therapeutic intervention for anxiety in patients receiving radiation therapy. Oncol Nurs Forum 2001;28:855–862.

    PubMed  CAS  Google Scholar 

  87. Speca M, Carlson LE, Goodey E, et al. A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med 2000;62:613–622.

    PubMed  CAS  Google Scholar 

  88. Spiegel D, Bloom JR, Yalom I. Group support for patients with metastatic cancer. A randomized outcome study. Arch Gen Psychiatry 1981;38:527–533.

    PubMed  CAS  Google Scholar 

  89. Telch CF, Telch MJ. Group coping skills instruction and supportive group therapy for cancer patients: a comparison of strategies. J Consult Clin Psychol 1986;54:802–808.

    Article  PubMed  CAS  Google Scholar 

  90. Thomas R, Daly M, Perryman B, et al. Forewarned is forearmed: benefits of preparatory information on video cassette for patients receiving chemotherapy or radiotherapy. A randomised controlled trial. Eur J Cancer 2000;36:1536–1543.

    Article  PubMed  CAS  Google Scholar 

  91. Watson M, Denton S, Baum M, et al. Counselling breast cancer patients: a specialist nurse service. Counsel Psychol Q 1988;1:25–34.

    Article  Google Scholar 

  92. Wells ME, McQuellon RP, Hinkle JS, et al. Reducing anxiety in newly diagnosed cancer patients: a pilot program. Cancer Pract 1995;3:100–104.

    PubMed  CAS  Google Scholar 

  93. Bruera E, Roca E, Cedaro L, et al. Action of oral methylprednisolone in terminal cancer patients: a prospective randomized double-blind study. Cancer Treat Rep 1985;69:751–754.

    PubMed  CAS  Google Scholar 

  94. Bruera E, Carraro S, Roca E, et al. Double-blind evaluation of the effects of mazindol on pain, depression, anxiety, appetite, and activity in terminal cancer patients. Cancer Treat Rep 1986;70:295–298.

    PubMed  CAS  Google Scholar 

  95. Clerico M, Bertetto O, Morandini MP, et al. Antiemetic activity of oral lorazepam in addition to methylprednisolone and metoclopramide in the prophylactic treatment of vomiting induced by cisplatin. A double-blind, placebo-controlled study with crossover design. Tumori 1993;79:119–122.

    PubMed  CAS  Google Scholar 

  96. Costa D, Mogos I, Toma T. Efficacy and safety of mianserin in the treatment of depression of women with cancer. Acta Psychiatr Scand Suppl 1985;320:85–92.

    Article  PubMed  CAS  Google Scholar 

  97. Fisch MJ, Loehrer PJ, Kristeller J, et al. Fluoxetine versus placebo in advanced cancer outpatients: a double-blinded trial of the Hoosier Oncology Group. J Clin Oncol 2003;21:1937–1943.

    Article  PubMed  CAS  Google Scholar 

  98. González Barón M, Chacon JI, Garcia Giron C, et al. A Antiemetic regimens in outpatients receiving cisplatin and non-cisplatin chemotherapy. A randomized trial comparing high-dose metoclopramide plus methylprednisolone with and without lorazepam. Acta Oncol 1991;30:623–627

    Article  PubMed  Google Scholar 

  99. Musselman DL, Lawson DH, Gumnick JF, et al. Paroxetine for the prevention of depression induced by high-dose interferon alfa. N Engl J Med 2001;344:961–966.

    Article  PubMed  CAS  Google Scholar 

  100. Capuron L, Gumnick JF, Musselman DL, et al. Neurobehavioral effects of interferon-alpha in cancer patients: phenomenology and paroxetine responsiveness of symptom dimensions. Neuropsychopharmacology 2002;26:643–652.

    Article  PubMed  CAS  Google Scholar 

  101. Razavi D, Allilaire JF, Smith M, et al. The effect of fluoxetine on anxiety and depression symptoms in cancer patients. Acta Psychiatr Scand 1996;94:205–210.

    Article  PubMed  CAS  Google Scholar 

  102. Tarrier N, Maguire P. Treatment of psychological distress following mastectomy: an initial report. Behav Res Ther 1984;22:81–84.

    Article  PubMed  CAS  Google Scholar 

  103. van Heeringen K, Zivkov M. Pharmacological treatment of depression in cancer patients. A placebo-controlled study of mianserin. Br J Psychiatry 1996;169:440–443.

    PubMed  Google Scholar 

  104. Wald TG, Kathol RG, Noyes R Jr, et al. Rapid relief of anxiety in cancer patients with both alprazolam and placebo. Psychosomatics 1993;34:324–332.

    PubMed  CAS  Google Scholar 

  105. Wolanskyj AP, Schroeder G, Wilson PR, et al. A randomized, placebo-controlled study of outpatient premedication for bone marrow biopsy in adults with lymphoma. Clin Lymphoma 2000;1:154–157.

    Article  PubMed  CAS  Google Scholar 

  106. Fawzy FI, Cousins N, Fawzy NW, et al. A structured psychiatric intervention for cancer patients. I. Changes over time in methods of coping and affective disturbance. Arch Gen Psychiatry 1990;47:720–725.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Health Outcomes and Behavioral Program, Department of Psychosocial and Palliative Care Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA

    Paul B. Jacobsen PhD (Professor and Program Leader)

  2. Department of Interdisciplinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa, FL, USA

    Kristine A. Donovan PhD, MBA (Assistant Professor)

  3. Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA

    Zoë N. Swaine Bsc (Hons) (Graduate Student)

  4. College of Public Health and Health Professions, Gainesville, FL, USA

    Zoë N. Swaine Bsc (Hons) (Graduate Student)

  5. Department of Psychosocial and Palliative Care, H. Lee Moffitt Research Center, Tampa, FL, USA

    Iryna S. Watson BA (Research Study Coordinator)

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  1. Paul B. Jacobsen PhD
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  2. Kristine A. Donovan PhD, MBA
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  3. Zoë N. Swaine Bsc (Hons)
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  4. Iryna S. Watson BA
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Editor information

Editors and Affiliations

  1. Division of Surgery Oncology, Department of Surgery, University of Michigan, Ann Arbor, MI, USA

    Alfred E. Chang MD (Hugh Cabot Professor of Surgery and Chief) (Hugh Cabot Professor of Surgery and Chief)

  2. Breast Oncology Program, University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA

    Daniel F. Hayes MD (Clinical Director) (Clinical Director)

  3. Department of Cardiothoracic Surgery, New York University School of Medicine and Comprehensive Cancer Center, New York, NY, USA

    Harvey I. Pass MD (Professor and Chief of Thoracic Surgery and Head) (Professor and Chief of Thoracic Surgery and Head)

  4. Thoracic Oncology, New York University School of Medicine and Comprehensive Cancer Center, New York, NY, USA

    Harvey I. Pass MD (Professor and Chief of Thoracic Surgery and Head) (Professor and Chief of Thoracic Surgery and Head)

  5. Department of Medicine, Harvard Medical School, USA

    Richard M. Stone MD (Associate Professor and Clinical Director) (Associate Professor and Clinical Director)

  6. Adult Leukemia Program, Dana-Farber Cancer Institute, Boston, MA, USA

    Richard M. Stone MD (Associate Professor and Clinical Director) (Associate Professor and Clinical Director)

  7. Division of Cancer Prevention and Control Research, Jonsson Comprehensive Cancer Center at UCLA, USA

    Patricia A. Ganz MD (American Cancer Society Clinical Research Professor, Director and Professor) (American Cancer Society Clinical Research Professor, Director and Professor)

  8. Schools of Public Health and Medicine, University of California, Los Angeles, Los Angeles, CA, USA

    Patricia A. Ganz MD (American Cancer Society Clinical Research Professor, Director and Professor) (American Cancer Society Clinical Research Professor, Director and Professor)

  9. Department of Radiation Oncology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH, USA

    Timothy J. Kinsella MD (Vincent K. Smith Professor and Chairman) (Vincent K. Smith Professor and Chairman)

  10. Department of Medicine, University of Wisconsin Comprehensive Cancer Center, Madison, WI, USA

    Joan H. Schiller MD (Melanie Heald Professor of Medical Oncology) (Melanie Heald Professor of Medical Oncology)

  11. Health Media Research Laboratory, Department of Health Behavior and Health Education, University of Michigan School of Public Health, USA

    Victor J. Strecher PhD, MPH (Professor and Director and Associate Director) (Professor and Director and Associate Director)

  12. Cancer Prevention and Control, University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA

    Victor J. Strecher PhD, MPH (Professor and Director and Associate Director) (Professor and Director and Associate Director)

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Jacobsen, P.B., Donovan, K.A., Swaine, Z.N., Watson, I.S. (2006). Management of Anxiety and Depression in Adult Cancer Patients: Toward an Evidence-Based Approach. In: Chang, A.E., et al. Oncology. Springer, New York, NY. https://doi.org/10.1007/0-387-31056-8_89

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