Yi Jean C, Syrjala Karen L
Biobehavioral Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, D5-220, Seattle, WA 98109, USA.
Biobehavioral Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, D5-220, Seattle, WA 98109, USA; Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 NE Pacific Street, Seattle, WA 98195, USA.
Med Clin North Am. 2017 Nov;101(6):1099-1113. doi: 10.1016/j.mcna.2017.06.005. Epub 2017 Aug 18.
Most cancer survivors adjust well to life after cancer but some experience persisting negative mood, such as cancer-related fears, posttraumatic stress, anxiety, or depression. Mood fluctuations may not reach criteria for a clinical diagnosis but subclinical symptoms can interfere with quality of life. Women, adolescents, and young adults are particularly at risk for mood disturbances. Behavioral interventions, such as cognitive behavioral therapy and pharmacologic treatments, can effectively treat these distressing emotions. Much of the research on managing emotional needs after cancer has been completed with breast cancer survivors and more work is needed with diverse groups of survivors.
大多数癌症幸存者能很好地适应癌症后的生活,但有些人会持续出现负面情绪,如与癌症相关的恐惧、创伤后应激、焦虑或抑郁。情绪波动可能未达到临床诊断标准,但亚临床症状会干扰生活质量。女性、青少年和年轻人尤其容易出现情绪障碍。行为干预,如认知行为疗法和药物治疗,可以有效治疗这些困扰情绪。关于癌症后管理情感需求的研究大多是针对乳腺癌幸存者进行的,不同群体的幸存者还需要更多研究。