title: Management of psychosocial distress by oncologists.
abstract: OBJECTIVE
  Little is known about the nature of psychosocial care delivered by oncologists. The goal of this study was to survey oncologists about their management of psychosocial distress, referencing the National Comprehensive Cancer Network guidelines.
  
  
  METHODS
  A random sample of 1,000 oncologists were sent an e-mail requesting their participation in an online survey; nonrespondents were sent the survey through postal mail. Regression analyses were conducted to identify independent predictors of care.
  
  
  RESULTS
  Forty-six percent (448 of 965) of oncologists responded. Practice locations included: community (63%), cancer center (25%), and hospital (7%). Respondents estimated that over one-third of their patients (mean+/-SD=38%+/-22%) experience psychosocial distress warranting intervention, although only 225 of 447 (50%) indicated having mental health services affiliated with their practice. Nearly half (212 of 447, 47%) reported only initiating a referral for psychosocial services, and 214 of 447 (48%) reported both making a referral and starting psychiatric medications, mainly selective serotonin reuptake inhibitors and benzodiazepines.
  
  
  CONCLUSIONS
  Most oncologists delivered some level of psychosocial care, although only half had affiliated mental health services.
authors: Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, 44 Binney St., Boston, MA 02115, USA. amuriel@partners.org
authors: Anna C
authors: AC
authors: Muriel
authors: Vivian S
authors: VS
authors: Hwang
authors: Alice
authors: A
authors: Kornblith
authors: Joseph
authors: J
authors: Greer
authors: Donna B
authors: DB
authors: Greenberg
authors: Jennifer
authors: J
authors: Temel
authors: Lidia
authors: L
authors: Schapira
authors: William
authors: W
authors: Pirl
mesh_terms: D000328:Adult; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008495:Medical Oncology; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D010817:Physician-Patient Relations; D013315:Stress, Psychological / Q000628:therapy*