PSIQUIATRIA DE LIGAÇÃO EM ONCOLOGIA:
reflexões a partir de um estudo em doentes internados em cirurgia
Zulmira Santos, Graça Santo, Orlando Guete, Guadalupe Rojas, Carla Vicente, Luís Ferreira
Abstract: The authors developed a retrospective study to assess the prescription of psychotropic drugs in oncologic patients in a surgery ward, as well as the referral patterns to psychiatric unit.
Psychotropic drugs were prescribed to 56% of the sample. Hypnotics and anxiolytics were the most prescribed (78%), neuroleptic in 13% and antidepressant in 9%.
4% of patients were referred to psychiatric evaluation.
Adjustment disorder and reactive depression were the most common diagnosis. These disorders fulfil the great majority of the diagnosis (67%).
History of unipolar depressive disease was detected in 33% of the patients referred.
This results shows that, in our country, there’s still a under use of psychotropic drugs in oncologic patients, and that this population is insufficiently referred to Psychiatry consultation, especially if we attend the high prevalence of psychological and psychiatry disorders in this patients.
A PERTURBAÇÃO PSIQUIÁTRICA EM DOENTES ONCOLÓGICOS
- Estudo de 159 doentes no Centro Regional de Oncologia de Coimbra
Emília Albuquerque
Abstract: The purpose of this study was to obtain information about psychiatric and psycological morbidity in cancer patients. 159 patients were assessed and diagnosed acording DSM-IV. Adjustment disorder was the found in 28.5% of patients, major depression in 17.3% and organic mental disorder in 13.2%. Other affective disorders, psychotic disorders, alcohol dependence and anxiety disorders were also diagnosed. It seems we need better screening of emotional and psychiatric disorders.
PSICOPEDAGOGIA TERAPÊUTICA
- a propósito duma paciente com neoplasia
Raul Guimarães Lopes
Abstract: The Author displays a clinical case with cancer that was followed in general hospital Consultation/Liaison Psychiatry and presents the related psychoeducational program.
Key Words: Cancer. Consultation/Liaison Psychiatry. Psychoeducation. Clinical information. Counselling.
PSICOFÁRMACOS E ANTINEOPLÁSICOS
- As controvérsias das interacções farmacológicas
Joana Serra & Denise Alexandra
Abstract: Psychoactive drugs play an important role in the treatment and control of the psychopathology of the cancer patient.
The interactions between psychoactive and anticancerous drugs may inadvertently reduce or increase their effects drugs, resulting in therapeutic failure or additional toxicity. This fact may unfavourably influence the patient's treatment, contribute and increase morbidity, and even prolong treatment or hospitalisation. Hence the controversy presented to the therapeutic teams responsible for such patients, evidently enframed in the whole that constitutes their oncologic problems.
The authors try to clarify these aspects, reviewing some psychopharmacologic considerations in the oncologic sphere, namely the pharmacocynetics of psychoactive and anticancerous drugs, and their possible clinical implications.
Key Words: psychoactive drugs, anticancerous drugs, cytochrome P450, enzymes, interactions.
QUALIDADE DE VIDA NA DOENÇA ONCOLÓGICA
Graça Santos & Zulmira Santos
Abstract: Significative advances in the management of cancer have arisen in the last decades, allowing the treatment of some cancers or longer survival times. However, treatment options keep a high amount of adverse effects with negative impact on the physical and emotional well-being of the patient. In this context, the assessment of the Health related quality of life (HRQOL) acquires great relevance.
The present article reviews the concept of Health related quality of life (HRQOL), the importance of its assessment on treatment options as well as in research, namely in psycho-oncology.
We address some considerations concerning the evaluation of quality life, using as an example an assessment tool, the Quality of live Questionnaire (QLQ-C30) developed by EORTC (European Organization for Research and Treatment of Cancer).
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