Fujisawa Daisuke
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
Palliative Care Center, Keio University Hospital, Tokyo, Japan.
Keio J Med. 2018 Sep 25;67(3):37-44. doi: 10.2302/kjm.2017-0010-IR. Epub 2017 Oct 14.
Depression is common among cancer patients and their families, and may lead to substantial clinical consequences. Clinicians should routinely screen cancer patients for comorbid depression and should provide appropriate care at both primary and specialized care levels. Good quality care is beneficial not only for cancer patients themselves but also for their family members. It includes good communication between patients and health providers, and addressing of unmet needs of cancer patients. Specialized care comprises pharmacotherapy and psychotherapy. The advancement of psychotherapy for cancer patients parallels the advancement of general psychotherapy. Among the many types of psychotherapies, mindfulness-based interventions have been attracting growing attention. Some relevant studies that have been conducted in Keio University Hospital are described herein.
抑郁症在癌症患者及其家属中很常见，可能会导致严重的临床后果。临床医生应定期对癌症患者进行共病抑郁症筛查，并应在初级和专科护理层面提供适当的护理。高质量的护理不仅对癌症患者本身有益，对其家庭成员也有益。它包括患者与医疗服务提供者之间的良好沟通，以及满足癌症患者未得到满足的需求。专科护理包括药物治疗和心理治疗。癌症患者心理治疗的进展与一般心理治疗的进展同步。在众多心理治疗方法中，基于正念的干预措施越来越受到关注。本文介绍了一些在庆应义塾大学医院进行的相关研究。
