Psychiatric considerations in the oncology setting Journal Article
| Authors: | Mehta, R. D. ; Roth, A. J. |
| Article Title: | Psychiatric considerations in the oncology setting |
| Abstract: | An aging population and advances in diagnostics and treatment have resulted in a rapidly growing population of people impacted by cancer. People live longer after a cancer diagnosis and tolerate more aggressive treatments than in the past. Younger patients struggle with diversions from the normal developmental milestones in career and relationships, while older patients deal with the dual challenges of aging and cancer. Cancer's transition from likely death to survival has increased interest in its impact on psychosocial issues and quality of life, rather than just longevity. In this article, the authors review the psychiatric diagnosis and management of the mental health issues most often encountered in oncology. Oncology treatment teams, including oncologists, nurses, social workers, and other ancillary staff, are often on the front lines of addressing psychiatric distress and clinical syndromes when psychiatrists are not easily available. The purpose of this review article is to highlight opportunities for nonpsychiatrists to improve identification and treatment of psychosocial distress and psychiatric syndromes and to request formal psychiatric consultation in appropriate situations. Psychotherapeutic, psychopharmacologic, cognitive, and behavioral-oriented interventions, as well as supportive interventions, are discussed for treating patients who are facing challenges during active cancer treatment, survivorship, and at the end of life. This review is not exhaustive but highlights the more common psychosomatic medicine and palliative care scenarios that impact cancer patient care. The importance of recognizing and addressing burnout and compassion fatigue in multidisciplinary professionals who care for those treated for cancer is also discussed given the secondary impact this can have on patient care. CA Cancer J Clin 2015;65:299-314. © 2015 American Cancer Society. |
| Keywords: | constipation; drowsiness; review; placebo; diarrhea; unspecified side effect; cancer patient; cancer palliative therapy; unindexed drug; quality of life; gastrointestinal symptom; nausea; vomiting; aripiprazole; chlorpromazine; haloperidol; lorazepam; methylphenidate; modafinil; olanzapine; quetiapine; akathisia; delirium; extrapyramidal symptom; orthostatic hypotension; prevalence; qt prolongation; high risk patient; cancer survivor; confusion; hyponatremia; hypotension; insomnia; depression; sexual dysfunction; evening dosage; empathy; psycho-oncology; antidepressant agent; atypical antipsychotic agent; benzodiazepine derivative; neuroleptic agent; adjustment disorder; anxiety disorder; cancer fatigue; cognitive therapy; distress syndrome; generalized anxiety disorder; mental disease; panic; suicide; cognitive defect; metabolic syndrome x; mirtazapine; anxiety; headache; hot flush; drug dose titration; informed consent; respiration depression; somnolence; alprazolam; behavior therapy; job stress; irritability; neuropathic pain; metabolic disorder; citalopram; clonazepam; treatment refusal; tachycardia; psychotherapy; valproic acid; cerebrovascular accident; grief; gabapentin; hypnotic sedative agent; amfebutamone; psychostimulant agent; serotonin noradrenalin reuptake inhibitor; serotonin uptake inhibitor; psychopharmacotherapy; weight gain; burnout; suicidal ideation; mental health care; lamotrigine; coordination disorder; mental instability; narcolepsy; bloating; gait disorder; torsade des pointes; increased appetite; buspirone; bipolar disorder; parkinsonism; antidepressants; personality disorder; mania; diazepam; restlessness; paranoia; daytime somnolence; nightmare; bleeding disorder; human; priority journal; lithium carbonate; ramelteon; neuroleptics; loss of appetite; anxiolytics; compassion fatigue; electroconvulsive therapy; tic; unsteadiness |
| Journal Title: | CA - A Cancer Journal for Clinicians |
| Volume: | 65 |
| Issue: | 4 |
| ISSN: | 0007-9235 |
| Publisher: | Wiley-Blackwell |
| Date Published: | 2015-07-01 |
| Start Page: | 299 |
| End Page: | 314 |
| Language: | English |
| DOI: | 10.3322/caac.21285 |
| PROVIDER: | scopus |
| PUBMED: | 26012508 |
| DOI/URL: | |
| Notes: | Export Date: 3 August 2015 -- Source: Scopus |
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