Complete Story
06/22/2017
NCCN has published updates to the NCCN Guidelines® for Distress Management
NCCN has published updates to the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Distress Management. These NCCN Guidelines® are currently available as Version 1.2017.
- Global Changes: “Substance abuse” changed to “Substance use disorder”.
- Definition of Distress in Cancer (DIS-2)
- The definition was revised, “Distress is a multifactorial unpleasant emotional experience of a psychological (ie, cognitive, behavioral, emotional), social, spiritual, and/or spiritual physical nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment....”
- Management of Expected Distress Symptoms: Under “Interventions,” a new bullet was added: “Assess coping strategies and contributing factors.” (DIS-5)
- Psychosocial Distress Patient Characteristics (DIS-B)
- Periods of increased vulnerability
- New bullet added: “Learning about genetic/familial cancer risk.”
- Bullet revised: “Admission to/discharge from hospital .”
- Periods of increased vulnerability
- Psychological/Psychiatric Treatment Guidelines: Under “Evaluation for,” “Substance use disorder” was added. (DIS-6)
- Depressive Disorders (DIS-10)
- First column: Last bullet revised: “Dysthymia Persistent depressive disorder.”
- Under “Evaluation,” a new bullet was added: “Evaluate using PHQ-2 or PHQ-9.”
- “Danger to self or others” pathway: “Assure safety of others” added as a treatment option. This change was also made in the “Bipolar and Related Disorders” algorithm (DIS-12) and the “Trauma and Stressor-Related Disorders” algorithm. (DIS-18)
- Anxiety Disorders: Under “Signs and symptoms...” (DIS-16)
- “Agoraphobia” and “Substance/medication-induced anxiety disorder” were added.
- Fourth bullet revised from “Phobic disorder” to “Specific phobia”.
- Trauma and Stressor-Related Disorders: Adjustment Disorders: Under “Evaluation,” “Assess for past trauma” was added. (DIS-17)
- Personality Disorders: “Dependent” added under “Signs and symptoms” and under “Evaluation, “Assess home situation” added. (DIS-23)
- Psychosocial Problems: Under “Type of problem” the fourth bullet was revised: “Absent or unclear advance directive.” (DIS-25)
Report Broken Links
Have you encountered a problem with a URL (link) on this page not working or displaying an error message? Help us fix it!