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乳腺癌诊断与治疗中的心理问题

Psychological Aspects to Consider in Breast Cancer Diagnosis and Treatment.

机构信息

Dipartimento di diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168, Rome, Italy.

UOS Psicologia Clinica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia.

出版信息

Curr Oncol Rep. 2021 Mar 11;23(3):38. doi: 10.1007/s11912-021-01049-3.

DOI:10.1007/s11912-021-01049-3
PMID:33709235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7952347/
Abstract

PURPOSE OF REVIEW

Breast cancer (BC) is the most common cancer diagnosed in women in the West World. Coping with cancer is cause of extreme stress for patients and their family. The purpose of this review is to evaluate possible approaches to follow to control those situations that can impact on quality of life (QoL) and compliance to treatments.

RECENT FINDINGS

Anxiety, distress, depression, and posttraumatic stress disorder are the most frequent psychological disorders in BC patients. Cognitive disorders and sexual dysfunction can also be important in affecting QoL both in younger and older patients. Younger and older patients show different characteristics of these disorders and different strategies of managing them. Several psychotherapeutic and supportive approaches have proven effective in managing psychological disorders in BC patients. Every BC patient should be supported with these techniques during her entire oncological history, in order to increase QoL and compliance to treatments.

摘要

目的综述

乳腺癌(BC)是西方世界女性最常见的癌症。应对癌症会给患者及其家属带来极大的压力。本文旨在评估可能的方法来控制那些会影响生活质量(QoL)和治疗依从性的情况。

最近的发现

焦虑、痛苦、抑郁和创伤后应激障碍是 BC 患者最常见的心理障碍。认知障碍和性功能障碍也会对年轻和年老患者的 QoL 产生重要影响。年轻和年老患者表现出这些障碍的不同特征,也有不同的管理策略。几种心理治疗和支持方法已被证明对 BC 患者的心理障碍管理有效。每个 BC 患者在整个肿瘤病史中都应该得到这些技术的支持,以提高 QoL 和治疗依从性。

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本文引用的文献

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Neurobiological features and response to eye movement desensitization and reprocessing treatment of posttraumatic stress disorder in patients with breast cancer.乳腺癌患者创伤后应激障碍的神经生物学特征及对眼动脱敏再处理治疗的反应
Eur J Psychotraumatol. 2019 Apr 25;10(1):1600832. doi: 10.1080/20008198.2019.1600832. eCollection 2019.
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Clusters of Psychological Symptoms in Breast Cancer: Is There a Common Psychological Mechanism?乳腺癌的心理症状群:是否存在共同的心理机制?
Cancer Nurs. 2020 Sep/Oct;43(5):343-353. doi: 10.1097/NCC.0000000000000705.
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Factors associated with depression symptoms in women after breast cancer.乳腺癌后女性抑郁症状的相关因素。
Rev Saude Publica. 2019 Apr 1;53:30. doi: 10.11606/S1518-8787.2019053000786.
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Training Cognitive Functions Using Mobile Apps in Breast Cancer Patients: Systematic Review.使用移动应用程序训练乳腺癌患者的认知功能:系统评价。
JMIR Mhealth Uhealth. 2019 Mar 19;7(3):e10855. doi: 10.2196/10855.
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Finding sexual health aids after cancer: are cancer centers supporting survivors' needs?癌症患者如何寻找性健康辅助器具:癌症中心是否满足患者的需求?
J Cancer Surviv. 2019 Apr;13(2):224-230. doi: 10.1007/s11764-019-00744-2. Epub 2019 Feb 27.
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Differences in coping strategies among young adults and the elderly with cancer.癌症患者中青年人与老年人应对策略的差异。
Psychogeriatrics. 2019 Sep;19(5):426-434. doi: 10.1111/psyg.12420. Epub 2019 Feb 5.
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