Psychological distress in cancer patients and family caregivers

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  • がん患者・家族のストレス
  • ガン カンジャ ・ カゾク ノ ストレス

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<p>Cancer affects psychological well-being of both patients and family caregivers. Patients and family caregivers frequently experience anxiety which is specific to each of the following phases of cancer trajectory: upon diagnosis, during cancer treatments, during survivorship, upon and after cancer recurrence, and end-of-life period. Approximately a third of patients develop depression, including major depressive disorder and adjustment disorder. Inclusive criteria, which includes somatic symptoms regardless of whether or not they come from physical causes, is recommended as the diagnostic criteria of major depressive disorder in cancer patients. Both psychotherapies (e.g. supportive psychotherapy, problem-solving therapy, and cognitive-behavioral therapy) and pharmacological treatments are effective for major depressive disorder in cancer patients. Psychological distress of family caregivers has been reported as high as or even higher than that of patients themselves. Psychosocial interventions targeted to patients and family caregivers jointly can enhance caregivers’ coping resources, increase self-efficacy, thereby, reduce their burden and anxiety.</p>

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