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These NCCN Guidelines for Distress Management discuss the identification and treatment of psychosocial problems in patients with cancer. All patients experience some level of distress associated with a cancer diagnosis and the effects of the disease and its treatment regardless of the stage of disease. Clinically significant levels of distress occur in a subset of patients, and identification and treatment of distress are of utmost importance. The NCCN Distress Management Panel meets at least annually to review comments from reviewers within their institutions, examine relevant new data from publications and abstracts, and reevaluate and update their recommendations. These NCCN Guidelines Insights describe updates to the NCCN Distress Thermometer (DT) and Problem List, and to the treatment algorithms for patients with trauma- and stressor-related disorders.

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.

Series Editor's Foreword Robert A. Neimeyer Preface David W. Kissane & Francine Parnes List of Contributors Part 1: Overview of the Clinical Development of Bereavement Care for Families Chapter 1. Family Grief David W. Kissane Chapter 2. Conceptual Framework for Family Bereavement Care: Strengthening Resilience Froma Walsh Chapter 3. The Family with Chronic Physical Disorders: An Integrative Model John Rolland Chapter 4. The Family With Mental Illness Peter Steinglass and Tammy Schuler Chapter 5. Ethical Dimensions of Family Bereavement Care Tomer T. Levin and Marguerite Lederberg Part 2: Grief Therapy with Families - A Practical Approach to Care Delivery Chapter 6. Assessing Bereaved Families Talia I. Zaider Chapter 7. Therapist Techniques in Family Work David W. Kissane and Isabelle Dumont Chapter 8. Culture and Grief in Families David W. Kissane, Bridgette Boucher and Francesca Del Gaudio Chapter 9. An Account of Family Therapy in Bereavement: One Mother's Dying Legacy for her Family Su Jin Kim Part 3: Family Grief Therapy in Particular Circumstances Chapter 10. Family Therapy in the Context of Traumatic Losses Darcy Harris and Stephanie Rabenstein Chapter 11. Family Therapy Following Suicide Diana C. Sands and Julian L. North Chapter 12. Family Therapy for the Unresolved Grief of Ambiguous Loss Pauline Boss and Carla M. Dahl Chapter 13. Perinatal Loss: Unforeseen Tragedy With On-going Grief Trajectories Nicole Alston and Valerie R. Samuels Chapter 14. Family Bereavement Care after the Death of a Child Lori Wiener and Cynthia A. Gerhardt Chapter 15. Care of Families With Children Anticipating the Death of a Parent Anna C. Muriel Chapter 16. Family-Centered Approach to Helping Older Grieving People J. Shep Jeffreys Part 4: Future Directions Chapter 17. Families 'At Risk' of Complicated Bereavement Wendy Lichtenthal and Corinne Sweeney Chapter 18. The Family with Socioeconomic and Cultural Issues Sarah Gehlert, Teresa Moro and Lailea Noel Chapter 19. Future Development and Dissemination of Models of Family Bereavement Care David W. Kissane and Talia I. Zaider Index