Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS).
Division of Molecular Medicine, St John's Research Institute.
Curr Opin Psychiatry. 2019 Sep;32(5):442-450. doi: 10.1097/YCO.0000000000000534.
Psycho-oncology has completed 25 years. There is growing recognition of the psychosocial needs of persons living with cancer and the role of sociocultural factors in addressing the needs. This review addresses the research in developing countries relating to distress associated with living with cancer and psychosocial care.
There is growing recognition of the emotional needs, understanding of the sociocultural aspects of the emotional responses of persons, caregivers, role of resilience and posttraumatic growth and spirituality in cancer care. Psychosocial aspects of cancer are largely influenced by social, economic, cultural, religious and health systems. A number of innovative approaches to care like use of yoga, financial and material support and involvement of caregivers have been implemented. A positive development is the increasing professional attention to document and develop innovative care programmes.
A significant proportion of the general population are living with cancer. There are significant psychosocial needs largely influenced by social, economic, cultural, religious aspects of the communities. There are a wide range of interventions from self-care to professional care to address the needs. In developing countries, there is need for longitudinal studies of psycho-social experiences, develop interventions that are culturally appropriate, along with enhanced use of information technology along with evaluation of interventions.
心理肿瘤学已经发展了 25 年。人们越来越认识到癌症患者的心理社会需求,以及社会文化因素在满足这些需求中的作用。本综述探讨了发展中国家有关与癌症患者生活相关的痛苦和心理社会关怀的研究。
人们越来越认识到癌症患者的情感需求,理解他们情感反应的社会文化方面,以及韧性、创伤后成长和精神性在癌症关怀中的作用。癌症的心理社会方面在很大程度上受到社会、经济、文化、宗教和卫生系统的影响。已经实施了一些创新的关怀方法,如瑜伽的应用、经济和物质支持以及照顾者的参与。一个积极的发展是越来越多的专业人员关注记录和开发创新的关怀方案。
相当一部分普通人群患有癌症。他们有很大的心理社会需求,这些需求在很大程度上受到社区的社会、经济、文化和宗教方面的影响。有广泛的干预措施,从自我关怀到专业关怀,以满足这些需求。在发展中国家,需要进行心理社会体验的纵向研究,开发文化适宜的干预措施,同时加强信息技术的使用,并评估干预措施。