Pilot of a Geriatric Group Psychoeducational Intervention for Elderly Patients With Cancer

Inclusion Criteria:

- Have a diagnosis of prostate, breast cancer lung, lymphoma, or gynecological.

- Are receiving active treatment (e.g., radiation, hormone, or chemotherapy)or have
been receiving treatment in the past 6 months at MSKCC

- Are 70 years old or older

- Greater than 6-months post diagnosis

- Have a Distress Thermometer score of 4 or greater or

a score of ≥ 6 on the Depression or Anxiety subscale of the HADS

- Have a Karnofsky Performance Rating of 60 or greater

- In the investigator's judgment, participants must have satisfactory cognitive
function to provide valid informed consent and participate in Geriatric Specific
Psychoeducational Intervention. The Blessed Orientation-Memory-Concentration test
(BOMC) will be used as a cognitive screening tool. Patients must have a BOMC score
of less than or equal to 11.

- Able to converse, write and read English. The questionnaires were designed and
validated in English and are not currently available in other languages. Translation
of questionnaires into other languages would require a very lengthy process of
reestablishing the reliability and validity and the establishment of norms for these
measures. Therefore, participants must be able to communicate in English to complete
the questionnaires.

Exclusion Criteria:

- Significant psychiatric disturbance sufficient, in the investigator's judgment, to
preclude participation in a group-format intervention (e.g., acute psychiatric
symptoms which requires individual treatment).

- Actively participating in protocol 07-094 or 11-021