Department of Clinical Psychology, University "Dimitrie Cantemir", Târgu Mures, Romania; I.O.S.U.D., University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade", Târgu Mures, Romania; Department of Urology, Comprehensive Cancer Center, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.
Department of Urology, Comprehensive Cancer Center, Vienna General Hospital, Medical University of Vienna, Vienna, Austria; Department of Cell and Molecular Biology, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade", Târgu Mures, Romania.
Eur Urol Focus. 2020 Nov 15;6(6):1158-1161. doi: 10.1016/j.euf.2019.10.008. Epub 2019 Dec 11.
There is a growing interest among clinicians regarding quality of life and psychological well-being of patients with bladder cancer. Recent evidence suggests that some patients might be at risk of suicide, and suffer from pre- and post-treatment depression and anxiety. In future, we should focus on attempting to identify patients who might be affected and might need specialized interventions. Furthermore, it is of utmost importance to investigate which type of interventions might be useful to help these patients achieve the goal of alleviating their cancer-related suffering. PATIENT SUMMARY: In this review, we looked at the data available regarding the rates of depression, anxiety, and suicide among the highest-risk oncology patients with bladder cancer. There is increased evidence that a high percentage of patients are at risk of suffering from psychological distress, with a proportion even committing suicide. Management of these patients should include a clear guideline on how to identify patients at risk and to combat possible psychological effects of this debilitating malignancy.
越来越多的临床医生关注膀胱癌患者的生活质量和心理健康。最近的证据表明，一些患者可能有自杀风险，并且在治疗前后患有抑郁和焦虑症。未来，我们应该专注于尝试识别可能受影响的患者，并可能需要专门的干预措施。此外，调查哪种类型的干预措施可能有助于帮助这些患者实现减轻癌症相关痛苦的目标至关重要。
在本次综述中，我们研究了膀胱癌最高危肿瘤患者中抑郁、焦虑和自杀的发生率数据。越来越多的证据表明，很大比例的患者有遭受心理困扰的风险，甚至有一部分患者自杀。这些患者的管理应包括明确的指南，说明如何识别有风险的患者，并应对这种使人衰弱的恶性肿瘤可能产生的心理影响。
