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[肿瘤学中的抑郁症]

[Depression in oncology].

作者信息

Reich M

机构信息

Equipe de Psycho-Oncologie, Centre de Lutte Contre le Cancer Oscar-Lambret, BP 307, 3 rue Frédéric-Combemale, 59020 Lille cedex, France.

出版信息

Cancer Radiother. 2010 Oct;14(6-7):535-8. doi: 10.1016/j.canrad.2010.06.003. Epub 2010 Jul 31.

Abstract

The purpose of this paper was to make a brief review of the main problematics raised by depression in oncology in terms of prevalence, semiology, screening, risk, prognosis factors and treatment. This reflection was based on recent literature data obtained through a PubMed search. Depressive disorders have frequently been encountered in cancer patients. During routine oncology daily care, depression screening, assessment and treatment are of paramount importance regarding psychosocial management. Depressive elements have a tremendous impact on the quality of life, tolerance and compliance with anticancer treatment. Moreover, depression morbidity and its possible influence on prognosis represent an important challenge in terms of prevention. A specific semiology for depressive disorders in the oncologic field might be more relevant with practical clinical implications. Optimal care of these mood disorders have to be implemented as soon as possible and be supported by the association of pharmacological treatment and psychotherapy.

摘要

本文旨在从患病率、症状学、筛查、风险、预后因素及治疗等方面,对肿瘤学中抑郁症引发的主要问题作简要综述。该思考基于通过PubMed检索获得的近期文献数据。抑郁症在癌症患者中屡见不鲜。在肿瘤学日常常规护理中,抑郁症的筛查、评估及治疗对于心理社会管理至关重要。抑郁因素对生活质量、抗癌治疗的耐受性及依从性有着巨大影响。此外,抑郁症的发病率及其对预后可能产生的影响在预防方面构成了一项重大挑战。肿瘤领域中抑郁症的特定症状学可能在实际临床应用中更具相关性。必须尽快对这些情绪障碍实施最佳护理,并辅以药物治疗和心理治疗。

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