[Psychological problems in breast cancer patients should be taken seriously]

Zhonghua Wai Ke Za Zhi. 2024 Feb 1;62(2):110-115. doi: 10.3760/cma.j.cn112139-20231016-00175.
[Article in Chinese]

Abstract

With the transformation of the biopsychosocial medical model, psychological problems and related interventions for breast cancer patients have received more and more attention. Patients often have various psychological problems, in diagnosis, treatment, and even in the state of disease-free survival, such as anxiety and depression, which not only seriously reduces the quality of life, but also affects the follow-up treatment and increases the risk of recurrence and metastasis. Therefore, physicians should perform routine psychological screening and appropriate intervention for patients. In recent years, psychological intervention has gradually become an important part of comprehensive breast cancer treatment, in which cognitive behavior therapy can alleviate patients' anxiety and sleep disorders, mindfulness therapy can treat patients' anxiety, depression and fear of cancer recurrence, and psychoeducational support is mainly used to address patients' mood disorders and sexual dysfunction. Improving patients' compliance with treatment and quality of life is the main goal of psychological intervention for breast cancer patients.

随着医学模式向生物-心理-社会模式转变,乳腺癌患者的心理问题及相关干预逐渐受到重视。患者在疾病诊断、治疗过程中,甚至在无病生存状态下往往会出现焦虑、抑郁等各种心理问题,不仅严重降低患者的生活质量,还可能影响患者的后续治疗,增大复发转移的风险。因此,医师应对患者进行常规的心理筛查和适当干预。近年来,心理干预已逐渐成为乳腺癌综合治疗的重要组成部分,其中认知行为疗法可以缓解患者的焦虑和睡眠障碍,正念疗法能治疗患者的焦虑、抑郁和癌症复发恐惧,心理教育支持主要用来解决患者的情绪障碍和性功能障碍。提高患者的治疗依从性及生活质量是乳腺癌患者心理干预的主要目标。.

Publication types

  • English Abstract

MeSH terms

  • Anxiety / prevention & control
  • Anxiety / psychology
  • Breast Neoplasms* / complications
  • Breast Neoplasms* / therapy
  • Depression / prevention & control
  • Depression / psychology
  • Female
  • Humans
  • Neoplasm Recurrence, Local
  • Quality of Life