妇科癌症和乳腺癌患者自杀：系统回顾

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2024-10-01 DOI:10.1002/pon.70007

Alessio Simonetti, Ottavia Marianna Ferrara, Georgios D Kotzalidis, Evelina Bernardi, Antonio Restaino, Lorenzo Moccia, Giovanni Camardese, Marianna Mazza, Giovanni Scambia, Gabriele Sani

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引用次数: 0

摘要

目标癌症患者的抑郁和自杀率很高。罹患乳腺癌和妇科癌症的妇女表现出高度的痛苦、抑郁症状、认知障碍和焦虑。了解这一人群的自杀率和风险因素，将为制定有针对性的预防策略提供可行的工具。本研究旨在估算乳腺癌和其他妇科癌症女性患者的自杀率，并确定自杀风险的决定因素：方法：从任何时间到 2023 年 9 月 26 日，在 PubMed 和 PsycINFO 上进行了系统研究。搜索策略如下(Gynaecol* OR Gynecolog*) AND (cancer OR tumor OR tumor OR neoplas* OR malignan*) AND suicid*。在本综述中，我们遵守了 PRISMA 声明：结果：9 篇论文符合纳入标准。与普通人群相比，患有乳腺癌或妇科癌症的女性自杀率较高。与其他妇科癌症相比，卵巢癌与更高的自杀风险和自杀意念相关。手术切除的程度与这两者均呈正相关。心理因素，如自我认知负担和自闭症，也可能影响自杀想法：结论：患有乳腺癌和妇科癌症的女性是自杀的高危人群。旨在减轻与心理因素相关的负担的干预措施可能有助于降低这种风险。

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Suicide in Gynecological and Breast Cancer: A Systematic Review.

Objectives: Depression and suicide rates are high among cancer sufferers. Women with breast and gynecological cancer show high levels of distress, depressive symptoms, cognitive impairment, and anxiety. Understanding suicide rates and risk factors in this population would represent a viable tool in planning tailored, prevention strategies. The objective of this study was to estimate suicide rate and identify the determinants of suicide risk in women with breast and other gynecologic cancer.

Methods: A systematic research was performed in PubMed and PsycINFO from anytime to September 26, 2023. The following search strategy was used: (Gynaecol* OR Gynecolog*) AND (cancer OR tumor OR tumor OR neoplas* OR malignan*) AND suicid*. In this review, we adhered to PRISMA statement.

Results: Nine papers met inclusion criteria. Women with breast or gynecological cancers showed higher suicide rates compared to the general population. Ovarian cancer was associated with higher suicide risk and suicidal ideation compared to other gynecological cancers. The extent of surgical demolition was positively associated with both. Psychological factors, such as self-perceived burden and alexithymia, might also influence suicidal thinking.

Conclusions: Women with breast and gynecological cancer are at high risk of suicide. Intervention aimed to reduce burden related to psychological factors might help reducing such risk.

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.