PRISM for Depression and Anxiety in Young Adults with Cancer

Inclusion Criteria for Participants:

• 18-30 years of age

• Speak and comprehend English sufficiently to be able to complete study proceduresand participate in the program in English

• Have been diagnosed with cancer or desmoid tumor at least 6 or more weeks ago

• Currently receiving treatment with curative intent or has completed treatment withcurative intent for cancer or desmoid tumor no more than 6 months ago

• Score 10-14 on the PHQ-9 (Kroenke et al., 1999) or/and score 10-14 on the GAD-7 (Spitzer et al., 2006) during the initial screening assessment.

Participant Exclusion Criteria:

• Adults unable to consent, individuals who are not yet adults (age <18), pregnantwomen, and prisoners.

• Individuals who score <10 on both PHQ-9 and GAD-7.

• Patients who score >14 (indicating moderately severe or severe depressive and/oranxiety symptoms) on PHQ-9 and/or GAD-7 will be ineligible for the current study butwill be offered a referral to an appropriate mental health provider for support, ifdesired.

• Individuals who are treated with palliative intent for their disease, those who arediagnosed with cancer less than 6 weeks at the time of screening (we will be able toapproach them again after 6 weeks since diagnosis has passed), or those whocompleted treatment more than 6 months ago will also be ineligible for this study;they will be offered resources for support, if desired.

• Individuals who report any suicidality (ideation, plan, and/or intent) at the timeof the eligibility screening will also be excluded from the current study, and theappropriate safety measures and/or referral to a mental health provider will bemade.

Inclusion Criteria for Support Person:

-≥ 18 years of age

-A friend or family member invited by the study participant to join the 6th PRISM session