Skip to main content

Psychological Issues and Care of Cancer Survivors

  • Chapter
  • First Online:

Abstract

One in two cancer survivors experiences high levels of psychosocial distress as a result of a variety of problems that can affect every aspect of life. Common issues include fear that cancer will come back or progress, body image disturbances that impact self-esteem and sexuality, existential concerns such as purpose in one’s life, as well as cognitive, financial, and occupational problems. While these issues are common and can be seen as part of the adjustment process to managing the stressful events presented by cancer and its treatment, these issues do not necessarily abate over time and can lead to long-term psychological problems such as anxiety and depression if left unaddressed. Timely recognition and responsiveness to these problems are critical as they undermine the ability of the individual to cope with residual symptoms and are associated with reduced adherence to treatment recommendations and a reduction in quality of life. There is evidence that distress screening and psychosocial interventions can reduce the psychosocial impact of cancer and improve the quality of life for people who have had cancer. Given that the number of cancer survivors continues to grow, follow-up requires an emphasis on living well using evidence-based interventions and coordinated and integrated care. Oncology clinicians are well-placed to assist patients to live well after cancer by recognizing and responding to their psychosocial needs.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Mehnert A, Hartung TJ, Friedrich M, Vehling S, Brähler E, Härter M, et al. One in two cancer patients is significantly distressed: prevalence and indicators of distress. Psycho-Oncology. 2018;27(1):75–82. https://doi.org/10.1002/pon.4464.

    Article  CAS  PubMed  Google Scholar 

  2. Gordon LG, Merollini KM, Lowe A, Chan R. A systematic review of financial toxicity among cancer survivors: we can’t pay the co-pay. Patient Patient Centered Outcomes Res. 2017;10(3):295–309. https://doi.org/10.1007/s40271-016-0204-x.

    Article  Google Scholar 

  3. Zhu J, Fang F, Sjölander A, Fall K, Adami HO, Valdimarsdóttir U. First-onset mental disorders after cancer diagnosis and cancer-specific mortality: a nationwide cohort study. Ann Oncol. 2017;28(8):1964–9.

    Article  CAS  PubMed  Google Scholar 

  4. Holland JC. History of psycho-oncology: overcoming attitudinal and conceptual barriers. Psychosom Med. 2002;64(2):206–21.

    Article  PubMed  Google Scholar 

  5. National Comprehensive Cancer Network. Clinical Practice Guidelines in Oncology Survivorship (Version 1.2019). 2019. https://www.nccn.org/professionals/physician_gls/. Accessed 8 June 2020.

  6. Cancer Australia. Principles of cancer survivorship. Sydney, Australia. 2017. https://canceraustralia.gov.au/sites/default/files/publications/principles-cancer-survivorship/pdf/pocs_-_principles_of_cancer_survivorship.pdf. Accessed 19 July 2020.

  7. Dolbeault S, Szporn A, Holland J. Psycho-oncology: where have we been? Where are we going? Eur J Cancer. 1999;35(11):1554–8.

    Article  CAS  PubMed  Google Scholar 

  8. Travado L, Breitbart W, Grassi L, Fujisawa D, Patenaude A, Baider L, et al. 2015 President’s Plenary International Psycho-oncology Society: psychosocial care as a human rights issue—challenges and opportunities. Psycho-Oncology. 2017;26(4):563–9.

    Article  PubMed  Google Scholar 

  9. Travado L, Bultz B, Ullrich A, Asuzu C, Turner J, Grassi L, et al. 2016 President’s Plenary International Psycho-Oncology Society: challenges and opportunities for growing and developing psychosocial oncology programmes worldwide. Psycho-Oncology. 2017;26(9):1231–8.

    Article  PubMed  Google Scholar 

  10. World Health Organization. Cancer key facts. 2018. https://www.who.int/news-room/fact-sheets/detail/cancer. Accessed 11 June 2020.

  11. Hewitt M, Greenfield S, Stovall E. From cancer patient to cancer survivor: lost in transition. Washington, DC: National Academies Press; 2005.

    Google Scholar 

  12. Bell K, Ristovski-Slijepcevic S. Cancer survivorship: why labels matter. Clin Oncol. 2013;31(4):409–11.

    Google Scholar 

  13. Leigh S. A nursing perspective. In: Ganz P, editor. Cancer survivorship: today and tomorrow. New York: Springer; 2007.

    Google Scholar 

  14. Forsythe LP, Kent EE, Weaver KE, Buchanan N, Hawkins NA, Rodriguez JL, et al. Receipt of psychosocial care among cancer survivors in the United States. J Clin Oncol. 2013;31(16):1961.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Recklitis CJ, Syrjala KL. Provision of integrated psychosocial services for cancer survivors post-treatment. Lancet Oncol. 2017;18(1):e39–50.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Butow P, Price MA, Shaw JM, Turner J, Clayton JM, Grimison P, et al. Clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients: Australian guidelines. Psycho-Oncology. 2015;24(9):987–1001.

    Article  PubMed  Google Scholar 

  17. Gilligan T, Bohlke K, Baile WF. Patient-clinician communication: American Society of Clinical Oncology consensus guideline summary. J Oncol Pract. 2017;

    Google Scholar 

  18. Lelorain S, Brédart A, Dolbeault S, Sultan S. A systematic review of the associations between empathy measures and patient outcomes in cancer care. Psycho-Oncology. 2012;21(12):1255–64.

    Article  PubMed  Google Scholar 

  19. Husson O, Mols F, Van de Poll-Franse L. The relation between information provision and health-related quality of life, anxiety and depression among cancer survivors: a systematic review. Ann Oncol. 2011;22(4):761–72.

    Article  CAS  PubMed  Google Scholar 

  20. Cancer Research UK. Can stress cause cancer? 2019. https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/cancer-controversies/can-stress-cause-cancer. Accessed 16 July 2020.

  21. Milne D, Hyatt A, Billett A, Gough K, Krishnasamy M. Exploring the experiences of people treated with immunotherapies for advanced melanoma and those caring for them: “real-world” data. Cancer Nurs. 2020;43(2):E97–E104.

    Article  PubMed  Google Scholar 

  22. Meiser B, Butow P, Friedlander M, Barratt A, Schnieden V, Watson M, et al. Psychological impact of genetic testing in women from high-risk breast cancer families. Eur J Cancer. 2002;38(15):2025–31.

    Article  CAS  PubMed  Google Scholar 

  23. Zolnierek KBH, DiMatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care. 2009;47(8):826.

    Article  PubMed  Google Scholar 

  24. Dugdale DC, Epstein R, Pantilat S. Time and the patient–physician relationship. J Gen Intern Med. 1999;14(Suppl 1):S34.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Ryan H, Schofield P, Cockburn J, Butow P, Tattersall M, Turner J, et al. How to recognize and manage psychological distress in cancer patients. Eur J Cancer Care. 2005;14(1):7–15.

    Article  CAS  Google Scholar 

  26. Maguire P. Improving the detection of psychiatric problems in cancer patients. Social Sci Med. 1985;20(8):819–23.

    Article  CAS  Google Scholar 

  27. Maguire P. Improving communication with cancer patients. Eur J Cancer. 1999;35(14):2058–65.

    Article  CAS  PubMed  Google Scholar 

  28. Devine EC, Westlake SK. The effects of psychoeducational care provided to adults with cancer: meta-analysis of 116 studies. Database of Abstracts of Reviews of Effects (DARE): quality-assessed reviews [Internet]. Centre for Reviews and Dissemination (UK); 1995.

    Google Scholar 

  29. National Breast Cancer Centre and National Cancer Control Initiative. Clinical practice guidelines for the psychosocial care of adults with cancer. Camperdown, NSW, Australia: National Breast Cancer Centre; 2003.

    Google Scholar 

  30. Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476–80.

    PubMed  Google Scholar 

  31. Institute of Medicine. Health literacy: a prescription to end confusion. National Academies Press. 2004. https://books.google.com.au/books?id=vWp0AAAAQBAJ. Accessed 11 June 2020.

  32. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Pub Health. 2015;25(6):1053–8.

    Article  Google Scholar 

  33. Centre for Disease Control and Prevention National Center for Health Marking. Plain Language Thesaurus for Health Communications. 2007. https://www.orau.gov/hsc/HealthCommWorks/MessageMappingGuide/resources/CDC%20Plain%20Language%20Thesaurus%20for%20Health%20Communication.pdf. Accessed 11 June 2020.

  34. Mehnert A, Brähler E, Faller H, Härter M, Keller M, Schulz H, et al. Four-week prevalence of mental disorders in patients with cancer across major tumor entities. J Clin Oncol. 2014;32(31):3540–6.

    Article  PubMed  Google Scholar 

  35. Burki TK. Unmet needs of cancer survivors. Lancet Oncol. 2015;16(3):e106.

    Article  PubMed  Google Scholar 

  36. Grenard JL, Munjas BA, Adams JL, Suttorp M, Maglione M, McGlynn EA, et al. Depression and medication adherence in the treatment of chronic diseases in the United States: a meta-analysis. J Gen Intern Med. 2011;26(10):1175–82.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Hanrahan NP, Bressi S, Marcus SC, Solomon P. Examining the impact of comorbid serious mental illness on rehospitalization among medical and surgical inpatients. Gen Hosp Psychiatry. 2016;42:36–40.

    Article  PubMed  Google Scholar 

  38. Niedzwiedz CL, Knifton L, Robb KA, Katikireddi SV, Smith D. Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority. BMC Cancer. 2019;19(1):1–8.

    Article  Google Scholar 

  39. Andersen BL, DeRubeis RJ, Berman BS, Gruman J, Champion VL, Massie MJ, et al. Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation. J Clin Oncol. 2014;32(15):1605.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Dilworth S, Higgins I, Parker V, Kelly B, Turner J. Patient and health professional’s perceived barriers to the delivery of psychosocial care to adults with cancer: a systematic review. Psycho-Oncology. 2014;23(6):601–12.

    Article  PubMed  Google Scholar 

  42. Faller H, Schuler M, Richard M, Heckl U, Weis J, Küffner R. Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: systematic review and meta-analysis. J Clin Oncol. 2013;31(6):782–93.

    Article  PubMed  Google Scholar 

  43. Cipriani A, Furukawa TA, Salanti G, Chaimani A, Atkinson LZ, Ogawa Y, et al. Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis. Focus. 2018;16(4):420–9.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Kelly CM, Juurlink DN, Gomes T, Duong-Hua M, Pritchard KI, Austin PC, et al. Selective serotonin reuptake inhibitors and breast cancer mortality in women receiving tamoxifen: a population based cohort study. BMJ. 2010;340:c693.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Andrews G, Bell C, Boyce P, Gale C, Lampe L, Marwat O, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of panic disorder, social anxiety disorder and generalised anxiety disorder. Aust NZ J Psychiat. 2018;52(12):1109–72.

    Article  Google Scholar 

  46. Lebel S, Ozakinci G, Humphris G, Mutsaers B, Thewes B, Prins J, et al. From normal response to clinical problem: definition and clinical features of fear of cancer recurrence. Support Care Cancer. 2016;24(8):3265–8.

    Article  PubMed  Google Scholar 

  47. Simard S, Thewes B, Humphris G, Dixon M, Hayden C, Mireskandari S, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Surviv. 2013;7(3):300–22.

    Article  PubMed  Google Scholar 

  48. Thewes B, Butow P, Bell ML, Beith J, Stuart-Harris R, Grossi M, et al. Fear of cancer recurrence in young women with a history of early-stage breast cancer: a cross-sectional study of prevalence and association with health behaviours. Support Care Cancer. 2012;20(11):2651–9.

    Article  CAS  PubMed  Google Scholar 

  49. Koch L, Bertram H, Eberle A, Holleczek B, Schmid-Höpfner S, Waldmann A, et al. Fear of recurrence in long-term breast cancer survivors—still an issue. Results on prevalence, determinants, and the association with quality of life and depression from the Cancer Survivorship—a multi-regional population-based study. Psycho-Oncology. 2014;23(5):547–54.

    Article  PubMed  Google Scholar 

  50. Mutsaers B, Jones G, Rutkowski N, Tomei C, Leclair CS, Petricone-Westwood D, et al. When fear of cancer recurrence becomes a clinical issue: a qualitative analysis of features associated with clinical fear of cancer recurrence. Support Care Cancer. 2016;24(10):4207–18.

    Article  PubMed  Google Scholar 

  51. Rudy L, Maheu C, Körner A, Lebel S, Gélinas C. The FCR-1: initial validation of a single-item measure of fear of cancer recurrence. Psycho-Oncology. 2020;29(4):788–95.

    Article  PubMed  Google Scholar 

  52. Tauber NM, O’Toole MS, Dinkel A, Galica J, Humphris G, Lebel S, et al. Effect of psychological intervention on fear of cancer recurrence: a systematic review and meta-analysis. J Clin Oncol. 2019;

    Google Scholar 

  53. Butow P, Sharpe L, Thewes B, Turner J, Gilchrist J, Beith J. Fear of cancer recurrence: a practical guide for clinicians. Oncology 2018;32(1).

    Google Scholar 

  54. Carter J, Lacchetti C, Andersen BL, Barton DL, Bolte S, Damast S, et al. Interventions to address sexual problems in people with cancer: American Society of Clinical Oncology clinical practice guideline adaptation of Cancer Care Ontario guideline. J Clin Oncol. 2018;36(5):492–511.

    Article  PubMed  Google Scholar 

  55. Galbraith ME, Archiga A, Ramirez J, Pedro LW. Prostate cancer survivors’ and partners’ self-reports of health-related quality of life, treatment symptoms, and marital satisfaction 2.5–5.5 years after treatment. Oncol Nurs Forum 2005;32.

    Google Scholar 

  56. Ganz PA, Rowland JH, Desmond K, Meyerowitz BE, Wyatt GE. Life after breast cancer: understanding women’s health-related quality of life and sexual functioning. J Clin Oncol. 1998;16(2):501–14.

    Article  CAS  PubMed  Google Scholar 

  57. Cancer Australia. Starting the conversation: supporting sexual wellbeing for women with breast cancer. 2013. https://canceraustralia.gov.au/sites/default/files/publications/2013_sexual_wellbeing_online_resource.pdf. Accessed 8 July 2020.

  58. Esplen MJ, Warner E, Boquiren V, Wong J, Toner B. Restoring body image after cancer (ReBIC): a group therapy intervention. Psycho-Oncology. 2020;29(4):671–80.

    Article  PubMed  Google Scholar 

  59. Ahles TA, Root JC, Ryan EL. Cancer-and cancer treatment–associated cognitive change: an update on the state of the science. J Clin Oncol. 2012;30(30):3675.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Bray VJ, Dhillon HM, Bell ML, Kabourakis M, Fiero MH, Yip D, et al. Evaluation of a web-based cognitive rehabilitation program in cancer survivors reporting cognitive symptoms after chemotherapy. J Clin Oncol, 35. 2017;(2):217–25.

    Google Scholar 

  61. Posit Science. Brain training that works. 2020. https://www.brainhq.com. Accessed 16 June 2020.

  62. de Souza JA, Wong Y-N. Financial distress in cancer patients. J Med Person. 2013;11(2):73–7.

    Article  Google Scholar 

  63. Paalman C, Van Leeuwen F, Aaronson N, De Boer A, Van De Poll-franse L, Oldenburg H, et al. Employment and social benefits up to 10 years after breast cancer diagnosis: a population-based study. Br J Cancer. 2016;114(1):81–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Sharp L, Carsin AE, Timmons A. Associations between cancer-related financial stress and strain and psychological well-being among individuals living with cancer. Psycho-Oncology. 2013;22(4):745–55.

    Article  PubMed  Google Scholar 

  65. Meropol NJ, Schrag D, Smith TJ, Mulvey TM, Langdon RM Jr, Blum D, et al. American Society of Clinical Oncology guidance statement: the cost of cancer care. J Clin Oncol. 2009;27(23):3868–74.

    Article  PubMed  Google Scholar 

  66. De Souza JA, Yap BJ, Hlubocky FJ, Wroblewski K, Ratain MJ, Cella D, et al. The development of a financial toxicity patient-reported outcome in cancer: the COST measure. Cancer. 2014;120(20):3245–53.

    Article  PubMed  Google Scholar 

  67. Mehnert A. Employment and work-related issues in cancer survivors. Crit Rev Oncol Hematol. 2011;77(2):109–30.

    Article  PubMed  Google Scholar 

  68. Hoffman B. The employment and insurance concerns of cancer survivors. Cancer Survivorship. Springer; 2007. p. 272–82.

    Google Scholar 

  69. de Boer AG, Taskila TK, Tamminga SJ, Feuerstein M, Frings-Dresen MH, Verbeek JH. Interventions to enhance return-to-work for cancer patients. Cochrane Database Syst Rev. 2015;9

    Google Scholar 

  70. Bauereiß N, Obermaier S, Özünal SE, Baumeister H. Effects of existential interventions on spiritual, psychological, and physical well-being in adult patients with cancer: systematic review and meta-analysis of randomized controlled trials. Psycho-Oncology. 2018;27(11):2531–45.

    Article  PubMed  Google Scholar 

  71. Griffith JL, Gaby L. Brief psychotherapy at the bedside: countering demoralization from medical illness. Psychosomatics. 2005;46(2):109–16.

    Article  PubMed  Google Scholar 

  72. Levy D, Dhillon HM, Lomax A, Marthick M, McNeil C, Kao S, et al. Certainty within uncertainty: a qualitative study of the experience of metastatic melanoma patients undergoing pembrolizumab immunotherapy. Support Care Cancer. 2019;27(5):1845–52.

    Article  PubMed  Google Scholar 

  73. Lewis RA, Neal RD, Williams NH, France B, Hendry M, Russell D, et al. Follow-up of cancer in primary care versus secondary care: systematic review. Br J Gen Pract. 2009;59(564):e234–e47.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Meiklejohn JA, Mimery A, Martin JH, Bailie R, Garvey G, Walpole ET, et al. The role of the GP in follow-up cancer care: a systematic literature review. J Cancer Surviv. 2016;10(6):990–1011.

    Article  PubMed  Google Scholar 

  75. Brennan ME, Butow P, Spillane AJ, Boyle FM. Survivorship care after breast cancer: follow-up practices of Australian health professionals and attitudes to a survivorship care plan. Asia Pac J Clin Oncol. 2010;6(2):116–25.

    Article  PubMed  Google Scholar 

  76. Earle CC, Neville BA. Under use of necessary care among cancer survivors. Cancer. 2004;101(8):1712–9.

    Article  PubMed  Google Scholar 

  77. Northouse L, Williams A-L, Given B, McCorkle R. Psychosocial care for family caregivers of patients with cancer. J Clin Oncol. 2012;30(11):1227–34.

    Article  PubMed  Google Scholar 

  78. Yabroff KR, Kim Y. Time costs associated with informal caregiving for cancer survivors. Cancer. 2009;115(S18):4362–73.

    Article  PubMed  Google Scholar 

  79. Mitchell AJ, Ferguson DW, Gill J, Paul J, Symonds P. Depression and anxiety in long-term cancer survivors compared with spouses and healthy controls: a systematic review and meta-analysis. Lancet Oncol. 2013;14(8):721–32.

    Article  PubMed  Google Scholar 

  80. Hodges L, Humphris G, Macfarlane G. A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Social Sci Med. 2005;60(1):1–12.

    Article  CAS  Google Scholar 

  81. Northouse L, Katapodi MC, Song L, Zhang L, Mood DW. Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin. 2010;60(5):317–39.

    PubMed  PubMed Central  Google Scholar 

  82. Australian Cancer Survivorship Centre. www.petermac.org/cancersurvivorship. Accessed 29 June 2020.

  83. Mayer DK, Nekhlyudov L, Snyder CF, Merrill JK, Wollins DS, Shulman LN. American Society of Clinical Oncology clinical expert statement on cancer survivorship care planning. J Oncol Pract. 2014;10(6):345–51.

    Article  PubMed  Google Scholar 

  84. Jacobsen PB, DeRosa AP, Henderson TO, Mayer DK, Moskowitz CS, Paskett ED, et al. Systematic review of the impact of cancer survivorship care plans on health outcomes and health care delivery. J Clin Oncol. 2018;36(20):2088.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Turner J, Yates P, Kenny L, Gordon L, Burmeister B, Hughes BG, et al. The ENHANCES study: a randomised controlled trial of a nurse-led survivorship intervention for patients treated for head and neck cancer. Support Care Cancer. 2019;27(12):4627–37.

    Article  PubMed  Google Scholar 

  86. Birken SA, Clary AS, Bernstein S, Bolton J, Tardif-Douglin M, Mayer DK, et al. Strategies for successful survivorship care plan implementation: results from a qualitative study. J Oncol Pract. 2018;14(8):e462–e83.

    Article  PubMed  PubMed Central  Google Scholar 

  87. de Rooij BH, Ezendam NP, Nicolaije KA, Lodder P, Vos MC, Pijnenborg JM, et al. Survivorship care plans have a negative impact on long-term quality of life and anxiety through more threatening illness perceptions in gynecological cancer patients: the ROGY care trial. Qual Life Res. 2018;27(6):1533–44.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Shanafelt TD, West CP, Sinsky C, Trockel M, Tutty M, Satele DV, et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017. Mayo Clin Proc. 2019;94(9):1681–94.

    Article  PubMed  Google Scholar 

  89. Back AL, Deignan PF, Potter PA. Compassion, compassion fatigue, and burnout: key insights for oncology professionals. Am Soc Clin Oncol Educ Book. 2014;34(1):e454–e9.

    Article  Google Scholar 

  90. Turner J, Kelly B, Girgis A. Supporting oncology health professionals: a review. Psycho-Oncology. 2011;5(2):77–82.

    Article  Google Scholar 

  91. Armato CS, Jenike TE. Physician resiliency and wellness for transforming a health system. NEJM Catalyst 2018;4(3).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nienke Zomerdijk .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zomerdijk, N., Turner, J. (2021). Psychological Issues and Care of Cancer Survivors. In: Rauh, S. (eds) Survivorship Care for Cancer Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-78648-9_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-78648-9_17

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-78647-2

  • Online ISBN: 978-3-030-78648-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics