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Vol. 14. Issue 2.
Pages 261-269 (March - April 2008)
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Vol. 14. Issue 2.
Pages 261-269 (March - April 2008)
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Cancro do pulmão: Aspectos psicológicos e psiquiátricos
Lung cancer: Psychological and psychiatric aspects
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Vera Domingues1, Emília Albuquerque2
1 Interna de Psiquiatria, Hospitais da Universidade de Coimbra
2 Assistente Graduada de Psiquiatria, Centro Regional de Oncologia de Coimbra
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Resumo

De acordo com a literatura, os doentes com cancro do pulmão apresentam maior sofrimento psicológico do que outros grupos de doentes oncológicos, com valores tão altos como 61,6%. O mau prognóstico, a culpabilidade e o estigma decorrentes da associação com o consumo de tabaco estão relacionados com esta maior prevalência. Valores para a prevalência de depressão entre 16 e 22% são mencionados em vários estudos.

O sofrimento psicológico afecta também os familiares envolvidos na prestação de cuidados ao doente, pelo que o seu envolvimento no processo de tratamento não deve ser descurado.

Os autores concluem que, sendo o sofrimento psicológico experimentado pelos doentes com cancro do pulmão altamente prevalente e com consequências a nível da qualidade de vida, e, possivelmente, do prognóstico da doença, o apoio psicossocial, envolvendo vários níveis de intervenção, é fundamental.

Palavras-chave:
Cancro do pulmão
sofrimento psicológico
apoio psicossocial
Summary

According to the literature, lung cancer patients experience greater emotional distress than other cancer patients, with scores as high as 61,6%. Poor prognosis, guilt and stigma associated with a history of smoking, may be related with this morbidity. Several studies mention the prevalence of depression to be between 16 and 22%.

As distress affects the family as well, mostly those members involved in the patient care, they should not be forgotten and must be involved in the treatment plan.

The authors conclude that lung cancer patients’ distress is highly prevalent and interferes with quality of live and, possibly, prognosis. Therefore, psychosocial care should be integrated early in cancer treatment.

Key-words:
Lung cancer
emotional distress
psychosocial care
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Bibliografia
[1.]
L.R. Derogatis, G. Morrow, J. Fettig, D. Penman, S. Peatsetsky, A. Schmale, et al.
The prevalence of psychiatric disorders among cancer patients.
JAMA, 249 (1983), pp. 751-757
[2.]
K.D. Graves, S.M. Arnold, C.L. Love, K.L. Kirsh, P.G. Moore, S.D. Passik.
Distress screening in a multidisciplinary lung cancer clinic: prevalence and predictors of clinically significant distress.
Lung Cancer, 55 (2007), pp. 215-224
[3.]
J. Ferlay, P. Autier, M. Boniol, M. Heanue, M. Colombet, P. Boyle.
Estimates of the cancer incidence and mortality in Europe in 2006.
Annals of Oncology, 18 (2007), pp. 581-592
[4.]
B. Parente, H. Queiroga, E. Teixeira, R. Sotto -Mayor, F. Barata, A. Sousa, et al.
Estudo epidemiologico do cancro do pulmao em Portugal nos anos de 2000/2002.
Rev Port Pneumol, XIII (2007), pp. 255-265
[5.]
Weisman AD, Worden JW. The existential plight in cancer: significance of the first 100 days. Int J Psichiatry Med 1976-1977; 7(1): 1-15.
[6.]
J. Zabora, K. Brintzenhofeszoc, B. Curbow, C. Hooker, S. Piantadosi.
The prevalence of psychological distress by cancer site.
Psycho-Oncology, 10 (2001), pp. 19-28
[7.]
A. Chapple, S. Ziebland, A. McPherson.
Stigma, shame, and blame experienced by patients with lung cancer: qualitative study.
Br Med J, 328 (2004),
[8.]
P. Hopwood, R.J. Stephens.
Depression in patients with lung cancer: prevalence and risk factors derived from quality -of -life data.
Journal of Clinical Oncology, 18 (2000), pp. 893-903
[9.]
T. Akechi, T. Okuyama, N. Akizuki, H. Azuma, R. Sagawa, T.A. Furukawa, et al.
Course of psychological distress and its predictors in advanced non-small cell lung cancer patients.
Psycho-Oncology, 15 (2006), pp. 463-473
[10.]
J.C. Holland.
Psycho -Oncology;.
Oxford University Press, (1998),
[11.]
M. Stommel, M.E. Kurtz, J.C. Kurtz, C.W. Given, B.A. Given.
A longitudinal analysis of the course of depressive symptomatology in geriatric patients with cancer of the breast, colon, lung or prostate.
Health Psychology, 23 (2004), pp. 564-573
[12.]
J.C. Holland, D.B. Greenberg, M.K. Hughes.
Quick Reference for Oncology Clinicians: The Psychiatric and Psychological Dimensions of Cancer Symptom Management.
APOS,
[13.]
A. Montazeri, R. Milroy, H. David, J. McEwen, C.R. Gillis.
Anxiety and depression in patients with lung cancer before and after diagnosis: findings from a population in Glasgow, Scotland.
J. Epidemiol. Community Health., 52 (1998), pp. 302-304
[14.]
J.E. Hughes.
Depressive illness and lung cancer I. Depression before diagnosis.
Eur J Surg Oncol, 11 (1985), pp. 15-20
[15.]
K. Carlsen, A.B. Jensen, E. Jacobsen, M. Krasnik, C. Johansen.
Psychosocial aspects of lung cancer.
Lung Cancer, 47 (2005), pp. 293-300
[16.]
American Psychiatric Association.
Diagnostic and statistical manual of mental disorders 2000.
4th ed rev, Autor. Edicao Portuguesa: DSM -IV- -TR, Climepsi Editores, Lisboa, (2002),
[17.]
H. Faller, H. Bulzebruck.
Coping and survival in lung cancer: a 10-year follow-up.
Am J Psychiatry, 159 (2002), pp. 2105-2107
[18.]
H. Faller, M. Schmidt.
Prognostic value of depressive coping and depression in survival of lung cancer patients.
Psycho-Oncology, 13 (2004), pp. 359-363
[19.]
M.S. Walker, D.M. Zona, E.B. Fisher.
Depressive symptoms after lung cancer surgery: their relation to coping style and social support.
Psycho-Oncology, 15 (2006), pp. 684-693
[20.]
D.P.H. Stark, A. House.
Anxiety in cancer patients.
British Journal of Cancer, 83 (2000), pp. 1261-1267
[21.]
L.J. Fallowfield, A. Hall, P. Maguire, M. Baum, R.P. A’Hern.
Psychological effects of being offered choice of surgery for breast cancer.
BMJ, 309 (1994), pp. 448
[22.]
R. Peto, S. Darby, H. Deo, P. Silcocks, E. Whitley, R. Doll.
Smoking, smoking cessation, and lung cancer in the UK since 1950: combination of national statistics with two case-control studies.
BMJ, 321 (2000), pp. 323-329
[23.]
H. Faller, S. Schilling, H. Lang.
Causal attribution and adaptation among lung cancer patients.
J Psychom Res, 39 (1995), pp. 619-627
[24.]
J. Bernhard, P.A. Ganz.
Psychosocial issues in lung cancer patients.
Chest, 99 (1991), pp. 216-223
[25.]
M.M. Plumb, J.C. Holland.
Comparative study of psychological function in patients with advanced cancer: I. Self reported depressive symptoms.
Psychosom Med, 39 (1977), pp. 264-275
[26.]
M.E. Kurtz, J.C. Kurtz, C.W. Given, B. Given.
Relationship of caregiver reactions and depression to cancer patients’ symptoms, functional states and depression -a longitudinal view.
Soc Sci Med, 40 (1995), pp. 837-846
[27.]
L. Bramwell, J. MacKenzie, H. Laschinger, N. Cameron.
Need for overnight respite for primary caregivers of hospice clients.
Cancer Nurs, 18 (1995), pp. 337-343
[28.]
L. Sharpe, P. Butow, C. Smith, McConnell, S. Clarke.
The relationship between available support, unmet needs and caregiver burden in patients with advanced cancer and their carers.
Psycho-Oncology, 14 (2005), pp. 102-114
[29.]
S.M. Morris, C. Thomas.
The carer's place in the cancer situation: where does the carer stand in the medical setting?.
European Journal of Cancer Care, 10 (2001), pp. 87-95
[30.]
Y. Uchitomi, I. Mikami, A. Kugaya, T. Nakano, T. Okuyama, T. Akechi, et al.
Physician support and patient psychologic responses after surgery for nonsmall cell lung carcinoma, a prospective observational study.
American Cancer Society, 92 (2001), pp. 1926-1935
[31.]
M. Pasquini, M. Biondi, A. Costantini, F. Cairoli, G. Ferrarese, A. Picardi.
Detection and treatment of depressive and anxiety disorders among cancer patients: feasibility and preliminary findings from a liaison service in an oncology division.
Depression and Anxiety, 23 (2006), pp. 441-448
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