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Somatization in cancer.

Santosh K Chaturvedi1, G Peter Maguire, B S Somashekar

  • 1Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India. chatur@nimhans.kar.nic.in

International Review of Psychiatry (Abingdon, England)
|February 3, 2006
PubMed
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Cancer patients, even without active disease, can experience somatic symptoms due to various factors including psychological distress and cancer treatments. These symptoms, like pain and fatigue, require tailored interventions for better patient outcomes.

Area of Science:

  • Oncology
  • Psychosomatic Medicine
  • Cancer Care

Background:

  • Somatic symptoms are prevalent in cancer patients, persisting even after disease remission.
  • These symptoms stem from diverse origins, including psychological distress (anxiety, depression, somatization) and cancer treatments (chemotherapy, radiation).
  • The presence of somatoform disorders can significantly complicate cancer treatment and prognosis.

Purpose of the Study:

  • To explore the multifaceted causes of somatic symptoms in cancer patients.
  • To highlight the common somatic symptoms experienced by cancer patients.
  • To discuss the diagnostic and therapeutic implications of somatic symptoms in oncology.

Main Methods:

  • This study reviews existing literature on somatic symptoms in cancer patients.

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  • It synthesizes information on the origins, manifestations, and management of these symptoms.
  • The review focuses on cognitive, psychological, and physiological contributors.

    • Main Results:

    • Common somatic symptoms include pain, fatigue, anorexia, weakness, lethargy, tremors, breathlessness, dizziness, and palpitations.
    • Somatic symptoms can mimic or mask psychological conditions like depression and anxiety, necessitating modified diagnostic approaches.
    • Cancer-related somatic symptoms are responsive to interventions such as counseling and psychopharmacotherapy.

    Conclusions:

    • Somatic symptoms in cancer patients are complex, with multifactorial origins.
    • Effective management requires addressing both the physical and psychological components.
    • Further research is crucial to fully understand somatization processes within the context of cancer.