Navigation Links
Oncologists are critical in managing psychiatric disorders in patients with advanced cancer

Mental illness and emotional distress in patients with advanced cancer are often overlooked by oncologists but, if screened for, can be adequately managed to improve a patients quality of life. In an article published in the October 15, 2007 issue of CANCER, a peer-reviewed journal of the American Cancer Society, Dr. Michael Miovic and Dr. Susan Block from the Dana Farber Cancer Institute and Brigham and Womens Hospital in Boston review the published literature of psychiatric illnesses in cancer patients.

They found that 50 percent or more of patients with advanced or terminal cancer suffer from at least one of three major psychiatric disorders: adjustment disorders, anxiety disorders and depressive disorders. These disorders have distinct symptoms that oncologists can screen for and manage through medications or referral to mental health professionals and/or support groups.

Though medical management of cancer has significantly improved in the last decade, integrating the management of related mental health issues has lagged. Studies demonstrate those depressive symptoms impact patients attitudes toward life and death, as well as quality of life, even more so than pain. Despite available effective therapies, less than half of patients with advanced cancer under the care of oncologists receive treatment.

More than 30 percent of patients with advanced disease and almost 20 percent of patients with terminal disease suffer from an adjustment disorder, consisting of symptoms of emotional distress such as irritability, mood swings, anxiety, or sleep disturbance. Additionally, up to 30 percent of patients with advanced disease and 20 percent of patients with terminal cancer are affected by a depressive disorder, such as major depression. Also, anxiety disorders affect nearly 10 percent of patients with advanced disease and 14 percent of patients with terminal cancer.

The most important screening tool for the oncologist is communication. By listening, explained the authors, the physician provides the patient a chance to be heard and understood, explore fears and concerns, mourn losses, articulate hopes and final wishes and share the unique meaning that illness has for each individual.

This review provides oncologists with an instructive framework from which to screen and manage their patients. Drs. Miovic and Block conclude, oncologists can help reduce psychological distress in patients with advanced cancer through effective communication, providing routine emotional support, screening for psychiatric disorders, appropriately prescribing anxiolytic and antidepressant medications, referring patients to support groups, collaborating with mental health professionals, and dealing with end-of-life issues.


Contact: Amy Molnar
John Wiley & Sons, Inc.

Related medicine news :

1. Oncologists Overlook Clot Risk
2. Cells critical for asthma development found
3. Ultrasound Screening Could Improve The Outcome Of Critically ill Patients
4. Sleep Not Critical For Early Brain Development Of Baby Dolphins
5. Critically Ill Patients More At Risk Of Infection If Glucose Is Present In Their Lung Secretions
6. Dietary supplementation of Folic Acid Requires Critical Evaluation
7. Past President Narayanans Condition Still Critical
8. Bacterial infestation in food very critical!
9. Critical Decisions Have To Be Taken By Mothers Of Premature Babies
10. Heart Transplant Twin Recovering, But Brother Critical
11. Australia In Search Of A Better Way to Handle Critically Ill Patients and Balance Elective Surgery
Post Your Comments:
(Date:10/12/2017)... LOS ANGELES (PRWEB) , ... October 12, 2017 ... ... of Parsa Mohebi Hair Restoration, has recently contributed a medical article to the ... doctors, on Dr. Mohebi’s article spotlights the hair transplant procedure known as ...
(Date:10/12/2017)... D.C. (PRWEB) , ... October 12, 2017 , ... Leading ... their peers in Washington, D.C., for the 49th Congress of the International Society ... ., Vice President of the Center for Cancer and Blood Disorders at ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... one of Michigan’s 2017 Best and Brightest in Wellness® by Best and Brightest. ... awards program on Friday, Oct. 20 from 7:30 a.m. to 2 p.m. at ...
(Date:10/12/2017)... ... 12, 2017 , ... In the United States, single-family home ... states—like New York, New Jersey, Massachusetts, Texas, Virginia, Connecticut, and California—the average is ... low property-tax rates, which contributes to the relatively lower cost of living in ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... University of California Berkeley, and other leading institutions in announcing the launch of ... institutions to change the way animals are raised for food. , Founding members ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Oct. 2, 2017 The Rebound mobile app is ... to reverse the tide of prescription drug addiction. The app ... medicine intake and stepping down their dosage in a safe, ... in December 2017; the first 100,000 people to sign up ... ...
(Date:9/25/2017)... --  Montrium , an industry leader in powerful ... Trial Master Files & Inspection Readiness Conference ( ... Services has selected eTMF Connect to ... a leading European contract research organization (CRO), will ... enable greater collaboration with sponsors, improve compliance and ...
(Date:9/19/2017)... ANN ARBOR, Mich. , Sept. 19, 2017 HistoSonics, Inc., a venture-backed medical ... the precise destruction of targeted tissues, announced three leadership team developments today:   ... Josh Stopek, PhD ... ... Veteran medical device executive ...
Breaking Medicine Technology: