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Psychiatric Considerations in Breast Cancer: an Integrative Review
Lindsay G Lebin1, Katherine C Wu2, Olivia Pointer3
1Department of Psychiatry, Anschutz Medical Campus, University of Colorado School of Medicine, 1890 N Revere Court, MS546, Room 5029, Aurora, 80045, CO, US. Lindsay.lebin@ucdenver.edu.
Psychiatric disorders are common in breast cancer patients. Integrating mental health care into oncology settings improves outcomes, but more research is needed for optimal interventions.
Area of Science:
- Oncology
- Psychiatry
- Psycho-oncology
Background:
- Psychiatric disorders and distress are prevalent throughout the breast cancer patient journey.
- These symptoms significantly impact patient health outcomes and quality of life.
Purpose of the Study:
- To synthesize recent evidence on psychiatric care in breast cancer.
- Focus areas include care delivery models, psychotherapy, and medication management.
Main Methods:
- Literature review of recent evidence.
- Synthesis of findings related to psychiatric interventions in breast cancer care.
Main Results:
- Effective models integrate mental health professionals into oncology settings, utilizing telehealth and digital interventions.
- Various psychotherapeutic approaches show benefit, but optimal choices for specific concerns require further study.
- Medication considerations include tamoxifen interactions (CYP2D6) and benzodiazepine use for side effects, with associated risks.
Conclusions:
- Routine mental health monitoring and evidence-based interventions are crucial for breast cancer care.
- Further research is essential to refine psychiatric care delivery and optimize interventions across all treatment phases.
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