在患有晚期固体瘤癌症的患者中,精神健康和精神病相关疾病
Apurba N Mahato1, Mukesh K Swami1, Puneet Pareek1
1Departments of Psychiatry and Radiation-Oncology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Indian journal of psychiatry
|July 14, 2025
概括
精神健康 (SpWB) 在晚期癌症患者中显著降低了焦虑和抑郁症状. 增强精神和意义可能有助于预防这一群体的精神病并发症.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 晚期癌症患者经历了显著的身体和心理痛苦.
- 精神健康 (SpWB) 在这些患者,特别是印度的精神病症中的作用需要进一步探索.
- 了解SpWB可以提高癌症患者的护理质量.
研究的目的:
- 在晚期固体瘤癌症患者中识别SpWB的相关物.
- 在这个队列中调查SpWB和精神病共同疾病之间的关联.
- 探索SpWB对癌症护理心理健康结果的影响.
主要方法:
- 一项涉及102名晚期固体瘤患者的横截面研究.
- 使用临床访谈和验证的尺度进行评估:GAD-7,PHQ-9和FACIT-Sp-12.
- 统计分析包括千平方,斯皮尔曼相关性和后勤回归来检查SpWB与精神病发病率的关联.
主要成果:
- 36.27%的患者被诊断为精神病,最常见的是适应障碍.
- SpWB显示与焦虑 (ρ = -0.78) 和抑郁症状 (ρ = -0.70) 有显著的负相关性.
- SpWB (OR = 0.834) 与精神病并发症有显著的关联,其中"意义"是一个关键领域.
结论:
- 较高的SpWB与晚期癌症患者的焦虑和抑郁症状降低有关.
- SpWB与精神病发病率有显著的关联,这表明它对心理健康的重要性.
- 促进精神和意义的干预措施可能在预防癌症患者的精神病发病方面发挥作用.
更多相关视频
相关概念视频
02:56Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
02:49Cancer Therapies
8.0K
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...
8.0K
02:07Tumor Progression
6.5K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.5K
01:21Cancer Survival Analysis
456
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
456
01:19Psychoneuroimmunology: Diabetes and Cancer
65
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...
65
01:27Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K