Psycho-Oncological Interventions and Psychotherapy in the Oncology Setting
A person who faces the diagnosis of cancer is subjected to changes within his body, but also with regard to his view of himself and his social relationships. Cancer-related psychological distress occurs frequently and has been reported to have different p
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Abstract
A person who faces the diagnosis of cancer is subjected to changes within his body, but also with regard to his view of himself and his social relationships. Cancer-related psychological distress occurs frequently and has been reported to have different prevalence according to cancer type and stage of disease. Psychological disorders are known to be underdiagnosed and thus undertreated in the oncology setting, since clinicians might miss the symptoms of psychological distress, misinterpret them, or lack the time and resources to respond adequately. The main psychiatric disturbances observed in patients with cancer are adjustment disorders and affective disorders (anxiety and depression), which in the majority of patients are due to stressors related to the disease and pre-existing psychological vulnerabilities; however, they might also be a direct consequence of biological causes either resulting from treatment side effects or from modifications induced by the cancer. This chapter aims to provide theoretical and practical information concerning psycho-oncological approaches, complemented by some reflexions on their clinical and scientific evidence, focussing essentially on verbal psychological interventions and especially on psychotherapy in patients with cancer.
M. de Vries Institut Universitaire de Psychothérapie, Département de Psychiatrie, Centre hospitalier universitaire vaudois, Avenue de Morges 10, 1004, Lausanne, Switzerland F. Stiefel (&) Service de Psychiatrie de Liaision, Département de Psychiatrie, Centre hospitalier universitaire vaudois, Rue du Bugnon 21, 1011, Lausanne, Switzerland e-mail: [email protected]
U. Goerling (ed.), Psycho-Oncology, Recent Results in Cancer Research 197, DOI: 10.1007/978-3-642-40187-9_9, Springer-Verlag Berlin Heidelberg 2014
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M. de Vries and F. Stiefel
Contents 1 Introduction.......................................................................................................................... 122 2 Psychological Challenges for Patients Facing Cancer and Its Treatment......................... 123 3 Psychological Interventions................................................................................................. 124 3.1 Psychoeducation ......................................................................................................... 124 3.2 Psychological Support ................................................................................................ 124 3.3 Psychotherapy ............................................................................................................. 124 4 Outcome of Psycho-Oncological Interventions.................................................................. 130 5 Conclusions.......................................................................................................................... 130 References.................................................................................................................................. 131
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Introduction
A person who faces th
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