Academic Palliative and Supportive Care Studies Group, School of population community and Behavioral Sciences, University of Liverpool, Liverpool, Merseyside L69 3GB, United Kingdom.
Eur J Oncol Nurs. 2010 Dec;14(5):395-9. doi: 10.1016/j.ejon.2010.01.026. Epub 2010 Mar 17.
Depression is one of the most common psychiatric diseases seen in patients with advanced cancer. It is not only an independent predictor of poor survival in advanced cancer but also reduces quality of life, reduces compliance with treatment and prolongs hospitalization. Yet all too often depression is under diagnosed and under treated in this population.
A literature review was undertaken using extensive electronic and hand searches.
Whilst it is true that the diagnostic and treatment challenges facing healthcare professionals in this area are considerable one must not forget that depression in advanced cancer is treatable and validated assessment tools have been developed to facilitate diagnosis.
This review article provides the reader with a comprehensive review of the current evidence in this field with particular focus on assessment and treatment. Depression is under diagnosed and under treated - there are valid screening and assessment tools available which will allow appropriate management of this important and debilitating symptom.
抑郁症是晚期癌症患者中最常见的精神疾病之一。它不仅是晚期癌症患者生存不良的独立预测因素，还会降低生活质量，降低治疗依从性并延长住院时间。然而，在这一人群中，抑郁症的诊断和治疗往往不足。
采用广泛的电子和手动搜索进行文献回顾。
尽管医疗保健专业人员在这一领域面临着相当大的诊断和治疗挑战，但我们不能忘记，晚期癌症患者的抑郁症是可以治疗的，并且已经开发出了经过验证的评估工具来促进诊断。
本文综述了该领域的最新证据，重点介绍了评估和治疗。抑郁症的诊断和治疗不足——有有效的筛查和评估工具可供使用，这将有助于管理这一重要且使人虚弱的症状。
