Chapter 4 presents a brief description of the range of psychosocial interventions that are available, the sites in which they are offered, the providers who offer them, and psycho-oncology education and training opportunities for health-care providers.

Chapter 5 reviews the effectiveness of psychosocial interventions with an emphasis on evidence from randomized clinical trials. The chapter concludes with a discussion of outstanding research issues that need to be addressed.

Chapter 6 characterizes the delivery of psychosocial services in the context of contemporary breast cancer care, describes a number of service programs, and presents evidence regarding use of psychosocial services by women with breast cancer.

Chapter 7 examines barriers to the receipt of psychosocial services, including issues related to access to care and limitations of systems of care.

Chapter 8 surveys ongoing clinical and health services research aimed at improving psychosocial care and outlines research priorities to improve services to women with breast cancer.

REFERENCES

American Cancer Society. 2002. Cancer Facts & Figures 2002. Atlanta: American Cancer Society.


Institute of Medicine and National Research Council. 1999. Ensuring Quality Cancer Care. Washington, DC: National Academy Press.

Institute of Medicine and National Research Council. 2003. Childhood Cancer Survivorship: Improving Care and Quality of Life. Washington, DC: The National Academies Press.


National Comprehensive Cancer Network. 1999. NCCN practice guidelines for the management of psychosocial distress. National Comprehensive Cancer Network. Oncology (Huntingt) 13(5A):113–147.


Shapiro SL, Lopez AM, Schwartz GE, Bootzin R, Figueredo AJ, Braden CJ, Kurker SF. 2001. Quality of life and breast cancer: Relationship to psychosocial variables. J Clin Psychol 57(4):501–519.



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