FeaturesThe Silent Killer: Psychological Issues in Ovarian CancerMcCorkle, Ruth PhD, FAAN; Pasacreta, Jeannie PhD, RN; Tang, Siew Tzuh BSN, MSN, DNScAuthor Information From the Yale University School of Nursing, New Haven, Conn (McCorkle, Pasacreta) The College of Nursing, National Yang-Ming University, Taipei, Taiwan. (Tang) Corresponding author: Ruth McCorkle, PhD, FAAN, Yale University School of Nursing, 100 Church St South, PO Box 9740, New Haven, CT 06536 (e-mail: firstname.lastname@example.org). Holistic Nursing Practice: November-December 2003 - Volume 17 - Issue 6 - p 300-308 Buy Abstract Ovarian cancer represents about 4% of all cancers in women and is the fifth leading cause of death in the United States each year. Ovarian cancer is associated with uncertainty, anxiety, and depression. Many women present with advanced disease at diagnosis and are faced with aggressive surgical and medical protocols to treat them. To meet the needs of women with ovarian cancer, the effects of their physical problems on psychological adjustment must be identified. Health care professionals must closely monitor women with ovarian cancer to identify those who may require ongoing psychological care or psychiatric intervention. This article presents an overview of ovarian cancer, focusing on the psychological effects, and an intervention by oncology nurse specialists to address both the physical and emotional distress that accompanies ovarian cancer. The importance of screening for psychological distress is emphasized. © 2003 Lippincott Williams & Wilkins, Inc.