process and serve to interfere with individuals' quality of life. CBT and adjacent therapies have also been used to support management of chronic pain and fatigue that patients treatment with chemotherapy often experience, helping to improve both their interpretations of the symptoms but also help manage their lives behaviorally in the context of functional impairment. In this context, the influence of improved self-regulation on survival in people with breast cancer and colon cancer was also investigated. Mindfulness Mindfulness is a burgeoning area of interest as a common element across multiple modalities in mental health treatment, having shown effectiveness in ameliorating depressive symptoms and anxiety. Mindfulness-based stress reduction specifically intended to help patients with cancer has been proven effective for decreasing levels of cancer-related distress. More recently, digitally delivered psychotherapy is being investigated as a low cost, highly accessible treatment method. Routine distress screening With awareness of the prevalence of psychological distress that accompanies a cancer diagnosis and increased efforts to integrate evidence-based psychosocial treatments into overall oncologic care, screening for adjustment to diagnosis and treatment became more widespread. Routine distress screening throughout the cancer process (e.g., diagnosis, treatment, survivorship) is crucial to identifying individuals who are already struggling with symptoms of depression or anxiety or for identifying those at risk for psychological issues related to cancer. Historically, communication about psychological adjustment was lacking between patients and providers regarding topics related to adjustment to diagnosis, living with cancer, living cancer-free in survivorship, or transitioning to end of life care. The stigmatized nature of psychological concerns made it difficult to identify those patients who could benefit from early intervention to prevent or attenuate symptoms of depression or anxiety that may emerge. References External links Psychosocial oncology UK at www.psycho-oncology.info International Psycho-Oncology Society (IPOS) Oncology Health psychology Interdisciplinary branches of psychology