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Psychiatric disorders in advanced cancer
1Division of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School Center for Palliative Care, Boston, Massachusetts 02115, USA. mmiovic@partners.org
Cancer
|September 12, 2007
Summary
Approximately 50% of advanced cancer patients experience psychiatric disorders. Early screening and treatment by oncologists, including psychosocial and pharmacological interventions, improve quality of life.
Area of Science:
- Psycho-oncology
- Psychiatry
- Oncology
Background:
- Emotional distress and psychiatric disorders are prevalent in advanced cancer patients.
- Oncologists are crucial for screening, initial treatment, and referrals for these conditions.
Purpose of the Study:
- To review the epidemiology, assessment, and treatment of psychiatric disorders in advanced cancer patients.
- To examine communication skills and the oncologist's role in end-of-life care.
Main Methods:
- Systematic review of psycho-oncology literature, epidemiological studies, and intervention trials.
- Focus on adjustment disorders, depression, anxiety, PTSD, personality disorders, substance abuse, and major mental disorders.
- Summarized relevant data and provided clinical recommendations.
Main Results:
- Around 50% of patients have psychiatric disorders; adjustment disorders (11-35%) and major depression (5-26%) are most common.
- Psychosocial and pharmacological treatments show effectiveness for anxiety and depression, despite study limitations.
- Collaboration with mental health specialists is advised for complex cases; effective communication is key.
Conclusions:
- Addressing psychiatric conditions enhances the quality of life for advanced cancer patients.
- Oncologists are vital for screening, initiating treatment for depression/anxiety, and discussing prognosis and end-of-life issues.
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