Yoshikawa Eisho
Psycho-oncology Division, Shizuoka Cancer Center, Shizuoka, Japan.
Gan To Kagaku Ryoho. 2008 Dec;35(13):2326-9.
Delirium and major depression are frequently seen in cancer patients. These disorders result in a serious situation, sometimes preventing safe medical treatment, making for difficult decision making in treatment, causing prolonged hospital stays, in association with distress for family members and medical staff and other major problems including suicidal behavior. On the other hand, underestimation and undertreatment of these psychiatric disorders are often reported, so psychiatric problems in cancer, may becomes serious state without being noticed by the medical staff. Psychiatric problems in cancer patients have multidimensional aspects, not only psychological, but also biological, including association of medical treatment, and social aspects like economic problems. Furthermore, cancer itself reportedly brings a risk of suicide. In these situations, there must be no hesitation in obtaining psychiatric consultation. It is important to develop a network between medical staff and psychiatric services, to communicate with medical staff about psychiatric problems, and to screen psychiatric problem in cancer patients.
谵妄和重度抑郁症在癌症患者中很常见。这些病症会导致严重的情况，有时会妨碍安全的医疗治疗，使治疗决策变得困难，导致住院时间延长，还会给家庭成员和医护人员带来困扰以及引发包括自杀行为在内的其他重大问题。另一方面，经常有报道称这些精神疾病被低估和治疗不足，所以癌症患者的精神问题可能在医护人员未察觉的情况下发展成严重状态。癌症患者的精神问题具有多维度的特点，不仅包括心理方面，还包括生物学方面，如与医疗治疗的关联，以及社会方面，如经济问题。此外，据报道癌症本身会带来自杀风险。在这些情况下，必须毫不犹豫地寻求精神科会诊。建立医护人员与精神科服务之间的网络、就精神问题与医护人员沟通以及筛查癌症患者的精神问题非常重要。
