PREVALENCE OF PSYCHOLOGICAL DISTRESS AMONG CANCER-PATIENTS ACROSS THEDISEASE CONTINUUM

Psychological distress is considered to be common as patients with can cer move beyond their diagnosis and into intensive treatment. However, the absolute prevalence of elevated psychological distress among pati ents is reported to be about 30% at the diagnosis and when the disease recurs. In all probability, patients enter their initial experience w ith cancer with preexisting levels of distress. Without intervention, their level of distress remains elevated, whereas patients with a lowe r level of distress gradually adapt to the diagnosis and treatment. To target interventions: understanding the relationship between a cancer diagnosis and the level of psychological distress at any point in tim e is essential. This article describes a study undertaken to determine the prevalence of psychological distress across the disease continuum in a sample of 386 adult cancer patients selected at random from 12 o ncology outpatient departments across the United States. Psychological distress was measured with the Brief Symptom Inventory, and quality o f life was measured with the Functional Living Index-Cancer. The resul ts indicated that the prevalence of psychological distress did not var y significantly across the disease continuum, with the exception of th e terminal phase.