Clinical Psycho-Oncology

The level of psychological distress and the ability to adjust to a diagnosis of cancer are highly variable. Medical factors, psychological factors prior to diagnosis and social factors account for this variability. By understanding these variables, the clinician can better assess and manage the distress caused by the diagnosis and provide the most appropriate medical treatment or psychological intervention. This practical handbook will address the principal behavioural and psychological problems associated with cancer. Where appropriate, it adopts a broader, multicultural perspective, in line with the aim of the World Psychiatric Association and the Federation of Psycho-Oncology societies. The main aims of the book are: to present the significant and challenging clinical problems encountered when caring for cancer patients and their families, including assessment, diagnosis and treatment to describe the best responses to these challenges, summarizing the evidence base and digesting clinical experience where evidence from clinical trials is lacking to discuss the emerging themes in psycho-oncology, such as genetic counselling, bioethics, cultural issues and cultural diversity to provide practical suggestions for dealing with special populations, such as children, the elderly, long-term survivors or mentally ill patients. The book is designed to be easy to read and to reference, with information clearly displayed in concise tables and boxes accompanied by further detail within the text. Chapters feature clinical vignettes, including management algorithms Key Points Suggested further reading The editors aim to provide an indispensable tool for junior doctors in training in either psychiatry, psychology or oncology, general practitioners, community psychiatric nurses, palliative care physicians and other members of the multidisciplinary team. With a Foreword by the pioneer in psycho-oncology, Professor Jimmie Holland.

List of Contributors vii Foreword xi Acknowledgements xiii Part 1 Clinical Issues 1 Introducing Multicultural Psycho-oncology 3 Luigi Grassi and Michelle Riba 2 Communication in Cancer Care: A Cultural Perspective 11 Phyllis Butow and Walter F. Baile 3 Psychosocial Assessment and Screening in Psycho-oncology 21 Paul B. Jacobsen and Kristine A. Donovan 4 Sexuality and Gender: Psychosocial Implications in Cancer Patients: A Multicultural Perspective 39 Anna Costantini Chiara M. Navarra Kimlin Tam Ashing-Giwa and Sophia Yeung 5 Psychosocial and Psychiatric Disorders 55 Santosh K. Chaturvedi and Yosuke Uchitomi 6 Neurocognitive Effects of Anticancer Treatments 71 Tim Ahles Sanne Schagen and Janette Vardy 7 Screening for Distress the 6th Vital Sign as the Connective Tissue of Health Care Systems: A Roadmap to Integrated Interdisciplinary Person-centred Care 83 Barry D. Bultz Matthew J. Loscalzo and Karen L. Clark 8 Psychological Intervention 97 Maggie Watson 9 Psychopharmacological Interventions 109 Seema M. Thekdi María Elisa Irarrázaval and Laura B. Dunn 10 Rehabilitation 127 Anja Mehnert and Uwe Koch Part 2 Special Populations 11 Pediatric Psycho-oncology 139 Margaret L. Stuber and Elizabeth M. Strom 12 A Life-stage Approach to Psycho-oncology 155 Peter Fitzgerald Rinat Nissim and Gary Rodin 13 Psycho-oncology in Underserved and Minority Populations 165 Richard Fielding and Wendy W.T. Lam Part 3 Other Topics 14 Exploration of Family Care: A Multicultural Approach 187 Lea Baider and Gil Goldzweig 15 Bioethical Challenges: Understanding Cultural Differences and Reducing Health Disparities 199 Antonella Surbone 16 Post-traumatic Growth in Cancer Patients Across Cultures 211 Michael Diaz Matthew Cordova and David Spiegel 17 The Need for Psychosocial Support in Genetic Counselling and Genetic Testing 223 Mary Jane Esplen Jonathan Hunter and Kathryn M. Kash 18 Psychosocial and Physical Health in Post-treatment and Extended Cancer Survivorship 237 Patricia A. Ganz and Annette L. Stanton 19 End-of-life Care 249 William Breitbart Harvey Max Chochinov and Yesne Alici 20 Grief and Bereavement 271 Sue Morris and Susan Block 21 Spiritual and Religious Coping with Cancer 281 David W. Kissane Carrie E. Lethborg and Brian Kelly 22 Psycho-oncology and Advocacy in Cancer Care: An International Perspective 297 Luzia Travado Jan Geissler Kim Thiboldeaux Jeff Dunn Ranjit Kaur and Anne Merriman Index 311