- Effectiveness of nursing intervention for increasing hope in patients with cancer: a meta-analysis
- I'm an oncologist who got breast cancer. This is what I learned
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In all cases, patients should benefit from an accompaniment that can be ensured by a nurse or a social worker. More research is still needed on factors that may cause varying rates of depression and that predict which patients are mostly at risk. An adequate collaborative care process ranging from depression screening to effective treatment has to be implemented and assessed.
Longitudinal studies are still needed to understand the evolution of depressive symptoms. Randomised controlled trials should also help to differentiate between the effectiveness of types of psychosocial interventions. Newer antidepressants and stimulants also should be studied in this population. National Center for Biotechnology Information , U. EJC Suppl. Published online Oct 5.
Dolbeault , b and M. Reich c. Author information Copyright and License information Disclaimer. Dauchy: rf. All rights reserved. This article has been cited by other articles in PMC.liokutorbnoca.cf
Effectiveness of nursing intervention for increasing hope in patients with cancer: a meta-analysis
Introduction Depression is frequent in cancerology. What is the prevalence of depression in cancerology? What are the predictive factors? How should depression be diagnosed? How to screen for depression in cancerology? Depression and the risk of suicide Despite the variability that can be found in the literature, owing to problems of both methodology and definition, it is possible to estimate the risk of suicide in the oncological context at 1. Treatment plan and overall patient care The treatment of depression has to start at an early stage .
When and how to prescribe an antidepressant? Table 1 Families of antidepressants. Open in a separate window. Table 2 Main limitations to antidepressant prescriptions and contraindications. Moderate renal or hepatic insufficiency SSRI, generally not contraindicated; use the minimum effective dose and start off with half this dose Severe hepatic insufficiency Use tianeptine or minalcipran Conduction disorders Avoid tricyclics Extension of QT, or co-prescription with drugs associated with this risk Avoid SNRIs Cardiac disorders in general Prefer mianserine Hyponatremia Risk of aggravation in response to SNRIs: monitor Convulsions or risk of convulsions cerebral metastases without anticonvulsive treatment Only tianeptine does not reduce the threshold of epileptogenesis Arterial hypertension Avoid venlafaxine Prostatic adenoma Tricyclics are contraindicated.
Caution is necessary with minalcipran and mirtazapine, SNRIs authorised but possibility of urination difficulties Administration of tamoxifen Paroxetine and fluoxetine are contraindicated. SSRI : selective serotonin reuptake inhibitors. Is it necessary to prescribe a benzodiazepine?
I'm an oncologist who got breast cancer. This is what I learned
What are the roles of the different actors in diagnosing and caring for depression in the field of cancerology? Conclusion Depression remains highly prevalent in cancer patients, and appears to have a great impact on their quality of life as well as on certain cancer outcomes, even if probably by the means of its impact on compliance, physical activity, social support etc. Conflict of interest None declared. References 1. Chochinov H. Depression in cancer patients. Lancet Oncol.
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Cancer pain and depression: a systematic review of age-related patterns. Pain Res Manage. Colleoni M. Depression and degree of acceptance of adjuvant cytotoxic drugs. Pitceathly C. Eur J Cancer. Misono S. Incidence of suicide in persons with cancer. J Clin Oncol. Prieto J. Psychiatric morbidity and impact on hospital length of stay among hematologic cancer patients receiving stem-cell transplantation.
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Satin J. Depression as a predictor of disease progression and mortality in cancer patients. A meta-analysis. Chiles J. Clin Psych Sci Pract. Carlson L.
Using Logistic Regression in Research
Efficacy and medical cost offset of psychosocial interventions in cancer care: making the case for economic analyses. Mitchell A. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies.