Суицидальное поведение и рак. Часть I. эпидемиология и факторы риска
| Jazyk: | ruština |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Суицидология. |
| ISSN: | 2224-1264 |
| Popis: | В обзоре литературы данные о распространенности сопутствующих раку психических расстройств (депрес-сия, тревоги) в основе суицидального поведения (СП) онкобольных. Риск СП выше, чем в общем населении на всех этапах развития болезни и лечения, включая ремиссию, недооценен статистикой. Выделены общие (сходные с таковыми в населении) и специфические для рака (хроническая боль и ограничение жизнедеятель-ности) факторы риска СП. This article provides an overview of psycho-oncology, including epidemiology of common comorbid psychiatric con-ditions (i.e., depression, anxiety, delirium) in cancer, and other psychosocial factors associated with a cancer diagnosis and treatment. Cancer patients and survivors have an excess risk for suicidal behavior (can be up to 2 to 10 times as frequent), relative to the general population, which varies with time since first diagnosis, disease severity, anatomical site, and side effects of treatment. Reports identify a higher incidence of suicide in patients with oral, pharyngeal, and lung cancers and in HIV-positive patients with Kaposi sarcoma. The actual incidence of suicide in cancer patients is probably underestimated. Risk factors for suicide in the cancer population are as follows: General Risk Factors. His-tory of psychiatric disorders, especially those associated with impulsive behavior (e.g., borderline personality disor-ders). Family history of suicide. History of previous/prior suicide attempts. Depression. Substance abuse. Recent death of a friend or spouse. Few social supports. Cancer-Specific Risk Factors. Oral, pharyngeal, and lung cancers (often associated with heavy alcohol and tobacco use). Advanced stage of disease and poor prognosis, onfusion/delirium. Inadequately controlled pain. Presence of deficit symptoms (e.g., loss of mobility, loss of bowel and bladder control, amputation, sensory loss, paraplegia, inability to eat and to swallow, exhaustion, fatigue). |
| Databáze: | OpenAIRE |
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