Frequently, the distress may be
severe enough to impair patients’ daily lives and abilities
to comply with treatment regimens. One-third of
all patients with cancer experience prolonged and high
levels of distress that contribute to ongoing adjustment
difficulties and can interfere with treatment compliance
(Sellick & Edwardson, 2007; Vitek, Rosenzweig,
& Stollings, 2007). Still, the healthcare system is doing
little to adequately and responsibly attend to this issue
(Bultz & Holland, 2006)