Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, United States of America.
J Geriatr Oncol. 2019 Sep;10(5):680-684. doi: 10.1016/j.jgo.2019.02.005. Epub 2019 Feb 20.
The increasing number of older adults living with cancer will inevitably include vulnerable subgroups who experience a range of depressive symptoms throughout the care continuum. It is well established that depression can lead to decreased quality of life, poor treatment adherence, increased length of hospital stay and health service utilization, and in severe cases, suicide. Thus, clinicians working in oncology must be able to identify, conceptualize, and treat (or connect to services) the mental health concerns of their older patients. This brief review describes the unique etiologies, features, and treatments for depressive syndromes among older adults in the oncology setting, drawing on the literature and prevailing depression management guidelines from both psycho-oncology and geriatric depression research.
随着患有癌症的老年人数量不断增加，不可避免地会包括一些弱势群体，他们在整个治疗过程中会经历一系列的抑郁症状。已经证实，抑郁会导致生活质量下降、治疗依从性差、住院时间和卫生服务利用增加，在严重的情况下，还会导致自杀。因此，从事肿瘤学工作的临床医生必须能够识别、概念化和治疗（或连接到服务）其老年患者的心理健康问题。本综述描述了肿瘤学环境中老年人群体抑郁综合征的独特病因、特征和治疗方法，参考了心理肿瘤学和老年抑郁症研究领域的文献和流行的抑郁管理指南。
