{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T10:27:30Z","timestamp":1760783250059},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,12,22]],"date-time":"2010-12-22T00:00:00Z","timestamp":1292976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>: To describe the problems reported by people with cancer and major depressive disorder as elicited before starting problem\u2010solving therapy (PST).<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: Ninety\u2010eight outpatients, with a variety of cancers who met criteria for major depression, received PST as part of a system of treatment called \u2018Depression Care for People with Cancer\u2019 within a randomized trial. During the first session of PST, each patient was asked to provide an exhaustive list of problems defined as \u2018anything that was bothering them\u2019. A coding system, based on thematic content, was developed to categorize the problems listed. Each problem was then coded by two raters independently (\u03ba=0.81). The resulting categories were organized into larger conceptual domains using a card\u2010sorting task.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: Thirty\u2010six problem categories were generated which were in turn organized into 11 larger conceptual domains. Patients reported problems in a mean of 9.2 different categories (range 3\u201321) and 5.7 domains (range 2\u20139). The most common problem categories were \u2018concerns about other people's well\u2010being\u2019 (65%), \u2018problems in interpersonal relations\u2019 (61%), \u2018loss of interest\u2019 (56%), \u2018low mood\u2019 (55%), and \u2018cancer recurrence or relapse\u2019 (54%).<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: People with cancer and major depression report a wide variety of problems that include, but go beyond concerns about, both cancer and depression. The large number of problems related to concerns about other people's well\u2010being and difficulties in interpersonal relationships, stresses the importance of these topics to patients and should be given more weight in the assessment and management of depressed cancer patients. 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