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Related Experiment Videos

Persistent somatization in cancer: a controlled follow-up study

S K Chaturvedi1, G P Maguire

  • 1Cancer Research Campaign, Psychological Medicine Group, Christie Hospital, Manchester, UK. chatur@nimhans.ren.nic.in

Journal of Psychosomatic Research
|October 17, 1998
PubMed
Summary

Persistent somatic symptoms in cancer patients are often linked to psychopathology. Psychiatric interventions, including medication and counseling, significantly reduced these symptoms and improved anxiety and depression scores in a follow-up study.

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Area of Science:

  • Oncology
  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Somatic complaints are common in cancer patients, but their link to psychiatric disorders requires further investigation.
  • Understanding the nature and frequency of these symptoms is crucial for effective patient management.
  • Adequately treated cancer patients, even disease-free, can experience persistent somatic symptoms.

Purpose of the Study:

  • To evaluate the nature and frequency of somatic complaints in cancer patients.
  • To assess the severity of anxiety and depression in relation to somatic symptoms.
  • To determine the effectiveness of psychiatric interventions for persistent somatic complaints in cancer survivors.

Main Methods:

  • A controlled, prospective follow-up study involving 81 adequately treated cancer patients.

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  • Patients were categorized into an index group (persistent somatic complaints) and a control group.
  • Utilized the Scale for Assessment of Somatic Symptoms, Hospital Anxiety and Depression Scale, Psychiatric Assessment Schedule, and DSM-III-R.

    • Main Results:

    • The index group reported common somatic complaints including pain, fatigue, sensory, and mixed symptoms.
    • Patients with persistent somatic complaints showed a significantly higher prevalence of depressive or anxiety disorders and atypical somatoform disorder.
    • Psychiatric intervention led to significant reductions in somatic symptoms, anxiety, and depression scores at 4-6 months follow-up.

    Conclusions:

    • Persistent somatic symptoms in cancer patients are frequently associated with underlying psychopathology.
    • Psychiatric interventions are effective in managing somatic symptoms and improving mental health in cancer survivors.
    • Early identification and treatment of psychiatric comorbidities are essential for comprehensive cancer care.