Koinuma N
Dept. of Hospital and Health Care Administration, Tohoku University School of Medicine, Sendai, Japan.
Gan To Kagaku Ryoho. 1993 Sep;20(12):1725-30.
Psycho-oncology is a relatively new subspecialty of oncology with multidisciplinary interest concerning the psychological, social, behavioral and ethical aspects of cancer, which covers everything from management of psychological problems of cancer patients and long survivors, and palliative and supportive care, to the health care system, with special attention to ethical and spiritual issues. It addresses two dimensions of cancer; the psychological responses of patients to cancer at all stages of the disease, as well as their families and healthcare providers, and the psychological factors that may influence the cancer process. The current concepts of psycho-oncology are overviewed with emphasis on its historical background, clinical significance and the empirical research activities such as quality of life studies in clinical settings and psychoneuroimmunological intervention studies. Humanistic dimensions and future directions of psycho-oncology are discussed with reference to the topics discussed at the International Congress of Psychosocial Oncology in 1992.
心理肿瘤学是肿瘤学中一个相对较新的亚专业，涉及癌症在心理、社会、行为和伦理方面的多学科研究兴趣，涵盖从癌症患者和长期幸存者心理问题的管理、姑息和支持治疗到医疗保健系统等各个方面，特别关注伦理和精神问题。它涉及癌症的两个层面：患者在疾病各个阶段对癌症的心理反应，以及他们的家人和医疗服务提供者的反应，还有可能影响癌症进程的心理因素。本文概述了心理肿瘤学的当前概念，重点介绍了其历史背景、临床意义以及实证研究活动，如临床环境中的生活质量研究和心理神经免疫学干预研究。参照1992年国际心理社会肿瘤学大会讨论的主题，探讨了心理肿瘤学的人文层面和未来发展方向。
