Breitbart W
Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
Support Care Cancer. 1995 Jan;3(1):45-60. doi: 10.1007/BF00343921.
A critically important aspect of supportive care in cancer is the prompt recognition and effective treatment of psychiatric complications. Psychiatric disorders such as depression, anxiety and delirium occur in a significant percentage of cancer patients, particularly as disease advances and as cancer treatments become more aggressive. This paper reviews factors that can be utilized to identify patients who are at increased risk for developing psychiatric complications, such as those with advanced disease, certain cancer treatments, uncontrolled physical symptoms, functional limitations, lack of social support, and past history of psychiatric disorder. Methods of diagnostic assessment and strategies for managing depression, anxiety, delirium and suicidal ideation are also reviewed.
癌症支持性护理的一个至关重要的方面是对精神科并发症的及时识别和有效治疗。抑郁症、焦虑症和谵妄等精神障碍在相当比例的癌症患者中出现，尤其是随着疾病进展以及癌症治疗变得更加激进时。本文回顾了可用于识别发生精神科并发症风险增加的患者的因素，例如那些患有晚期疾病、接受某些癌症治疗、身体症状未得到控制、功能受限、缺乏社会支持以及有精神障碍既往史的患者。还回顾了诊断评估方法以及管理抑郁症、焦虑症、谵妄和自杀意念的策略。
