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(p. 97) Screening and Assessment 

(p. 97) Screening and Assessment
(p. 97) Screening and Assessment

Donald R. Nicholas

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date: 23 October 2019

Chapter 5 begins Part II of the book—psychosocial health services in psycho-oncology. It is organized in two parts, screening for psychosocial distress and assessment of psychosocial adaptation. This chapter provides background knowledge about distress screening such as its prevalence, how to assess for distress, and meeting unmet needs. The NCCN Guidelines for distress screening are explained and research on the accuracy of screening procedures, and the effect of screening programs on patient outcomes are reviewed. Results of two large-scale longitudinal studies testing different levels of screening are highlighted as an exemplar. How to do a semi-structured clinical interview to assess the psychosocial adaptation of adult cancer patients is explained in detail in the second part of this chapter. This procedure follows a conceptual model that includes relevant person, situation, and life context variables designed to evaluate the patient’s current, psychosocial adaptation—a component of quality of life.

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