Miller Kimberley, Massie Mary Jane
Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
Cancer J. 2006 Sep-Oct;12(5):388-97. doi: 10.1097/00130404-200609000-00008.
Anxiety and depression are common in patients with cancer and in palliative care settings. These symptoms can be reactive to the illness or can be related to the direct physiologic effects of the disease or to drug therapies. Effective treatment of these symptoms includes both psychopharmacologic and psychotherapeutic approaches. The newer antidepressants, anxiolytics, and hypnotics are better tolerated and can be continued safely if necessary, or they can be reduced and discontinued as symptoms improve.
焦虑和抑郁在癌症患者及姑息治疗环境中很常见。这些症状可能是对疾病的反应，也可能与疾病的直接生理影响或药物治疗有关。对这些症状的有效治疗包括心理药物治疗和心理治疗方法。新型抗抑郁药、抗焦虑药和催眠药耐受性更好，如有必要可安全持续使用，或者随着症状改善可减少剂量并停药。
