Anderson Danyon, Razzak Abrahim N, McDonald Matthew, Cao David, Hasoon Jamal, Viswanath Omar, Kaye Alan D, Urits Ivan
Medical School, Medical College of Wisconsin.
School of Medicine, Rocky Vista University College of Osteopathic Medicine.
Health Psychol Res. 2022 Aug 20;10(3):37518. doi: 10.52965/001c.37518. eCollection 2022.
This article is a systematic review of mental health in urologic oncology patients with prostate cancer (PCa), bladder cancer (BC), renal cell carcinoma (RCC), testicular cancer (TC), or penile cancer (PeCa). For all pathologies, a focus on increasing quality of life post-treatment demonstrated a positive impact in reducing Mental Health Illness (MHI) prevalence. Cancer specific mental health care may be given to patients to reduce suicide risk in BC patients and sexual identify and masculinity counseling may improve mental health for TC or PeCa patients. In order to better accommodate patient's mental health needs when undergoing GU cancer treatment, we recommend incorporation of mental health metrics such as questionnaires to assess early treatment of MHI, a greater emphasis on psychosocial support with the patient's loved ones, peers, and healthcare team, alongside advising healthy habits such as exercise which has been shown to drastically reduce MHI incidence across all pathologies. We hope that these measures conducted by urologists and oncologists, alongside possible coordination with psychiatrists and psychologists for psychotherapy, psychopharmacology, and neuro-stimulation treatment modems may be helpful in the long term to reduce MHI incidence in urology oncology patients. Given the higher incidence of MHI in oncology patients and in the patient population after the Covid-19 pandemic, MHI awareness in the sphere of urologic oncologic treatment continues to be crucial when creating a collaborative treatment platform for patients.
本文是对患有前列腺癌(PCa)、膀胱癌(BC)、肾细胞癌(RCC)、睾丸癌(TC)或阴茎癌(PeCa)的泌尿外科肿瘤患者心理健康状况的系统评价。对于所有疾病,关注提高治疗后的生活质量对降低心理健康疾病(MHI)患病率产生了积极影响。可以为患者提供癌症特异性心理健康护理,以降低BC患者的自杀风险,而性别认同和男性气质咨询可能会改善TC或PeCa患者的心理健康。为了在患者接受泌尿生殖系统癌症治疗时更好地满足其心理健康需求,我们建议纳入心理健康指标,如通过问卷评估MHI的早期治疗情况,更加重视患者与亲人、同龄人及医疗团队之间的心理社会支持,同时建议养成健康的习惯,如锻炼,已证明锻炼能大幅降低所有疾病中MHI的发病率。我们希望泌尿外科医生和肿瘤学家采取的这些措施,以及可能与精神科医生和心理学家在心理治疗、精神药理学和神经刺激治疗模式方面的协调,从长远来看可能有助于降低泌尿外科肿瘤患者中MHI的发病率。鉴于肿瘤患者以及新冠疫情后患者群体中MHI的发病率较高,在为患者创建协作治疗平台时,泌尿外科肿瘤治疗领域对MHI的认识仍然至关重要。