Psychiatric consultation for women undergoing rehabilitation for upper-extremity lymphedema following breast cancer treatment Journal Article
| Authors: | Passik, S.; Newman, M.; Brennan, M.; Holland, J. |
| Article Title: | Psychiatric consultation for women undergoing rehabilitation for upper-extremity lymphedema following breast cancer treatment |
| Abstract: | Breast cancer presently affects one in nine women in the United States. Women receiving radiation and surgical resection of axial lymph nodes are at risk for development of lymphedema of the ipsilateral upper extremity. Mental health consultation and intervention can be an important part of rehabilitative efforts aimed at improving both lymphedema itself and the overall psychosocial adjustment of the patient. Such consultation begins with a careful consideration of possible psychiatric diagnosis but must necessarily depart from standard psychiatric considerations to include an assessment of psychosexual and social factors. Additionally, the consultant must gauge the degree of success the patient has had in adjustment to lifestyle changes brought on by lymphedema. This paper discusses the psychological problems posed by lymphedema and offers case examples. These cases illustrate the nature of psychiatric and psychological factors encountered in this population and the interventions that can help improve both compliance with rehabilitative efforts and psychological adjustment. © 1993. |
| Keywords: | adult; cancer survival; clinical article; treatment outcome; case report; cancer patient; cancer radiotherapy; quality of life; breast cancer; mastectomy; female sexual dysfunction; breast neoplasms; lymphedema; psychological aspect; depression; pethidine; conservative treatment; psychiatry; referral and consultation; fluoxetine; physiotherapy; patient counseling; psychotherapy; amitriptyline; arm; social adaptation; nortriptyline; sex therapy; phenelzine; human; female; article; psychological aspects |
| Journal Title: | Journal of Pain and Symptom Management |
| Volume: | 8 |
| Issue: | 4 |
| ISSN: | 0885-3924 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1993-05-01 |
| Start Page: | 226 |
| End Page: | 233 |
| Language: | English |
| DOI: | 10.1016/0885-3924(93)90132-f |
| PUBMED: | 7963764 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 March 2019 -- Source: Scopus |
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