title: Development of guidelines for distress management in Korean cancer patients.
abstract: OBJECTIVE
  Psychological distress is common in cancer patients, and the need to develop a system for assessing and managing distress is widely recognized. This project developed recommendations that are feasible for Korean cancer patients and the Korean healthcare system.
  
  
  METHODS
  Based on the findings from a series of studies in the context of this project, we developed guidelines following the steps and parameters recommended by the Scottish Intercollegiate Guidelines Network (SIGN). The Development Group consisted of individuals from several professions, including psychiatrists, psychologists, nurses, social workers, a health policy expert, and a methodologist. Opinions from various healthcare providers, patients, and related societies were also reflected in the guidelines.
  
  
  RESULTS
  The main recommendations for distress management in cancer patients were the following: (1) a concept of distress in Korean cancer patients, screening tools, management algorithms, and triage approaches was developed and (2) four symptom-specific guidelines with management algorithms were proposed for depression, anxiety, insomnia, and delirium.
  
  
  CONCLUSIONS
  This is the first effort to develop recommendations for distress management in psycho-oncology in Korea. These guidelines offer standards for psychosocial care for cancer patients in Korea. We have made a significant step toward integrated cancer care that incorporates the psychosocial care of patients as an essential component of patient care in a Korean oncology context. This version will be updated constantly to keep up with emerging evidence from empirical research and clinical experience.
authors.affiliation: Mental Health Clinic, National Cancer Center, Gyeonggi-do, Republic of Korea.
authors.forename: Eun-Seung
authors.initials: ES
authors.lastname: Yu
authors.forename: Eun Jung
authors.initials: EJ
authors.lastname: Shim
authors.forename: Ha Kyoung
authors.initials: HK
authors.lastname: Kim
authors.forename: Bong-Jin
authors.initials: BJ
authors.lastname: Hahm
authors.forename: Jong-Hyock
authors.initials: JH
authors.lastname: Park
authors.forename: Jong-Heun
authors.initials: JH
authors.lastname: Kim
mesh_terms: D001007:Anxiety / Q000175:diagnosis / Q000628:therapy; D003693:Delirium / Q000175:diagnosis / Q000628:therapy; D003863:Depression / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D009369:Neoplasms / Q000523:psychology*; D017410:Practice Guidelines as Topic; D056910:Republic of Korea; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000628:therapy; D013315:Stress, Psychological / Q000175:diagnosis* / Q000628:therapy*