在中国接受治疗的年轻和中年癌症患者中的心理痛苦和问题
Shuman Wang1,2,3, Wenjie Xu1,2,3, Aoxing Sun1,2,3
1Department of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Psycho-oncology
|January 9, 2025
概括
五分之一的年轻和中年癌症患者经历了严重的心理痛苦. 低收入,孤独以及神经紧张和恶心等症状与更高的痛苦水平有关,需要有针对性的支持.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 在中国,年轻和中年癌症患者面临着独特的心理痛苦,受生活阶段和社会文化因素的影响.
- 了解这些独特的挑战对于有效的患者护理至关重要.
研究的目的:
- 调查中国年轻和中年癌症患者心理痛苦的严重程度,具体问题和相关因素.
- 确定与严重心理困扰相关的关键人口,临床和症状相关的因素.
主要方法:
- 一项涉及510名年龄在18-59岁之间的癌症患者在放射治疗中心进行的横截面研究.
- 心理困扰用困扰温度计 (DT) 和问题列表 (PL) 测量.
- 二元逻辑回归分析了与临床显著痛苦相关的因素 (DT得分≥4).
主要成果:
- 20.0%的患者有临床显著的痛苦 (DT得分≥4).
- 70.6%的人报告至少有一个问题,其中常见的问题包括担忧,照顾负担,认知困难,身体形象问题以及工作/学校影响.
- 较低的年度家庭收入,孤独,紧张,失去兴趣,饮食问题和恶心显著与更高的痛苦有关.
结论:
- 临床上显著的心理痛苦影响了五分之一的年轻和中年癌症患者.
- 收入较低的患者和那些报告孤独,紧张,失去兴趣,饮食问题或恶心的患者需要专注的干预.
- 有针对性的支持对于减轻这一群体的心理痛苦至关重要.
相关概念视频
Psychoneuroimmunology: Diabetes and Cancer
22
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
22
Disorders of the Male Reproductive System
314
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
314
Stress and Mental Health
73
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
73
Cancer Therapies
7.5K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.5K
Targeted Cancer Therapies
7.4K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.4K
Psychological Responses to Stress
43
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
43


