Cancer-Related Lymphedema and Psychological Distress.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2024-10-08 DOI:10.1007/s11920-024-01543-y

Kelsey Lau, Shivali Patel, Katie Rogers, Sean Smith, Michelle Riba

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引用次数: 0

Abstract

Purpose of review: Cancer-related lymphedema (CRL) places an already vulnerable patient population at risk for the development and worsening of psychological distress. The purpose of this review is to highlight factors contributing to distress in lymphedema secondary to breast, head and neck, genitourinary cancers, and melanoma and discuss pertinent treatment considerations.

Recent findings: Multiple factors contribute to distress in CRL, including changes in body image, sleep, sexuality, functional capacity, and social interaction. There is limited literature describing psychopharmacological considerations in CRL, though exercise, which may be used for the treatment of depression and anxiety, may also improve CRL. Psychiatrists, oncologists, physiatrists, palliative medicine physicians, and physical and occupational therapists should have an awareness and understanding of CRL. To effectively manage distress in these patients, it is crucial to be mindful of psychotropic side-effect profiles, emphasize non-pharmacologic modalities including psychotherapy and exercise, and ensure patients receive evidence-based treatments for CRL.

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与癌症相关的淋巴水肿和心理困扰。

审查目的：癌症相关淋巴水肿（CRL）使本已脆弱的患者群体面临心理困扰发展和恶化的风险。本综述旨在强调导致继发于乳腺癌、头颈部癌症、泌尿生殖系统癌症和黑色素瘤的淋巴水肿患者痛苦的因素，并讨论相关的治疗注意事项：导致 CRL 患者痛苦的因素有多种，包括身体形象、睡眠、性生活、功能能力和社会交往方面的变化。尽管运动可用于治疗抑郁症和焦虑症，也可改善 CRL，但描述 CRL 心理药理学注意事项的文献有限。精神科医生、肿瘤科医生、理疗科医生、姑息医学医生以及物理和职业治疗师都应认识和了解 CRL。要有效控制这些患者的痛苦，关键是要注意精神药物的副作用，强调包括心理治疗和运动在内的非药物治疗方式，并确保患者接受以证据为基础的 CRL 治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.