Mehnert Anja, Lehmann Claudia, Cao Patrizia, Koch Uwe
Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
Psychother Psychosom Med Psychol. 2006 Dec;56(12):462-79. doi: 10.1055/s-2006-951828.
A substantial percentage of cancer patients suffers from psychosocial distress to severe mental disorders and psychosocial crisis during the course of the illness and cancer treatment. However, only a small percentage of patients with severe psychosocial distress and mental disorders in the present oncological practice is accurately identified, diagnosed, and appropriately treated. Therefore, sufficient knowledge about psychosocial distress and mental disorders as well as screening procedures are urgent concerns to improve psychosocial care for cancer patients. First, the article provides an overview of psychosocial distress and the epidemiology of mental disorders in cancer patients. Then a few of the most important objectives and problems of psychosocial assessment in cancer patients will be explained. The following part will offer an overview of questionnaires and screening procedures that are frequently used to assess psychosocial distress, mental disorders, personal and social resources, and health related quality of life in cancer patients.
相当大比例的癌症患者在疾病和癌症治疗过程中会遭受心理社会困扰,甚至出现严重精神障碍和心理社会危机。然而,在目前的肿瘤治疗实践中,只有一小部分存在严重心理社会困扰和精神障碍的患者能够得到准确识别、诊断和适当治疗。因此,充分了解心理社会困扰和精神障碍以及筛查程序,是改善癌症患者心理社会护理的当务之急。首先,本文概述了癌症患者的心理社会困扰及精神障碍的流行病学情况。然后将解释癌症患者心理社会评估的一些最重要目标和问题。接下来的部分将概述常用于评估癌症患者心理社会困扰、精神障碍、个人和社会资源以及健康相关生活质量的问卷和筛查程序。