Major depression and demoralization in cancer patients: diagnostic and treatment considerations

被引:70
作者
Angelino, AF
Treisman, GJ
机构
[1] Johns Hopkins Bayview Med Ctr, Dept Psychiat, Baltimore, MD 21224 USA
[2] Johns Hopkins Univ Hosp, Dept Psychiat & Behav Sci, Baltimore, MD 21287 USA
关键词
cancer; major depression; adjustment disorder; antidepressant; psychiatry;
D O I
10.1007/s005200000195
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Major depression and demoralization are very common in patients with cancer. A discussion of the diagnostic specificity of major depression and demoralization (also known as adjustment disorder) is presented here, followed by a review of some effects of comorbid depression and cancer. Finally, there are a brief review of studies of antidepressant pharmacotherapy in cancer patients, a treatment algorithm for antidepressant therapy, and suggestions for treatment of demoralization.
引用
收藏
页码:344 / 349
页数:6
相关论文
共 44 条
[1]  
BARRACLOUGH J, 1992, BMJ-BRIT MED J, V304, P1708
[2]  
Berman RM, 1997, AM J PSYCHIAT, V154, P37
[3]   PSYCHOSOCIAL FACTORS AND IMMUNITY IN NONHUMAN-PRIMATES - A REVIEW [J].
COE, CL .
PSYCHOSOMATIC MEDICINE, 1993, 55 (03) :298-308
[4]   EFFICACY AND SAFETY OF MIANSERIN IN THE TREATMENT OF DEPRESSION OF WOMEN WITH CANCER [J].
COSTA, D ;
MOGOS, I ;
TOMA, T .
ACTA PSYCHIATRICA SCANDINAVICA, 1985, 72 :85-92
[5]   Euthanasia and physician-assisted suicide: Attitudes and experiences of oncology patients, oncologists, and the public [J].
Emanuel, EJ ;
Fairclough, DL ;
Daniels, ER ;
Clarridge, BR .
LANCET, 1996, 347 (9018) :1805-1810
[6]  
Evans D L, 1988, N C Med J, V49, P546
[7]   TREATMENT OF DEPRESSION IN CANCER-PATIENTS IS ASSOCIATED WITH BETTER LIFE ADAPTATION - A PILOT-STUDY [J].
EVANS, DL ;
MCCARTNEY, CF ;
HAGGERTY, JJ ;
NEMEROFF, CB ;
GOLDEN, RN ;
SIMON, JB ;
QUADE, D ;
HOLMES, V ;
DROBA, M ;
MASON, GA ;
FOWLER, WC ;
RAFT, D .
PSYCHOSOMATIC MEDICINE, 1988, 50 (01) :72-76
[8]   METHYLPHENIDATE FOR DEPRESSIVE-DISORDERS IN CANCER-PATIENTS - AN ALTERNATIVE TO STANDARD ANTIDEPRESSANTS [J].
FERNANDEZ, F ;
ADAMS, F ;
HOLMES, VF ;
LEVY, JK ;
NEIDHART, M .
PSYCHOSOMATICS, 1987, 28 (09) :455-&
[9]  
FERNANDEZ F, 1986, HEAD NECK-J SCI SPEC, V8, P296
[10]   COMPARISON OF PSYCHIATRIC SYMPTOMS IN CARCINOMA OF PANCREAS WITH THOSE IN SOME OTHER INTRA-ABDOMINAL NEOPLASMS [J].
FRAS, I ;
LITIN, EM ;
PEARSON, JS .
AMERICAN JOURNAL OF PSYCHIATRY, 1967, 123 (12) :1553-&