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Yıl:2014; Cilt: 7; Sayı: 4>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2014;7(4):34-38
Yaşlı Kanserli Hastaların Genç Kanserli Hastalara Göre Psikolojik Morbidite ve Komorbidite Açısından Karşılaştırılması
SS Can, ŞA Korkmaz
Ankara Atatürk Eğitim ve Araştırma Hastanesi
Toplumda yaşlı hastalarda psikiyatrik bozuklukların görülme sıklığı yapılan araştırmalarda %12 civarında olduğunu bilinmektedir. Psikiyatrik bozuklukların görülme sıklığı fiziksel hastalığı olan yaşlı popülasyonda ise %40-50'ye kadar yükselir. Genç kanser hastalarında olduğu gibi geriatrik kanser hastalarında da en sık görülen psikiyatrik komplikasyon, uyum bozuklukları ve major depresyondur. Yaşlı kanser hastalarında major depresyon oranı tüm kanser türleri göz önüne alınarak ortalama %25 olarak kabul edilmektedir. Sonuç olarak, Ericson'un insanın sekiz gelişim evresi kuramında belirttiği gibi içinde bulunulan yaş dönemine göre kanser gibi direk ölümü çağrıştıran bir kavrama verilen yanıt değişmektedir. Klinisyenlerin hastalara tanı hakkında bilgi verirken ve hastanın izlemi sürecinde ruhsal durumunu ve hastanın yaşının getirdiği psikolojik savunma mekanizmalarını dikkate alması çok önemlidir.
Comparison of Elder and Young Cancer Patients on Psychological Morbidity and Comorbidity
In guidelines that have been shown the incidence of psychiatric disorders in elderly population is about 12%. Psychiatric disorders incidences rises to 40%-50% in the elderly population with physical illness. Most common complications in geriatric cancer patients are adjustment disorders and major depression as complications in younger cancer patients. Taking into consideration all cancer types, major depression prevalence in elderly cancer patients is said to be around 25%. As a result according to Ericson's eight stage of development theory, located in the period by age, responses changes to notion directly evoking death such as cancer disease. Clinicians have to be carefully about patients mental status and their age related psychological defense mechanism during the follow up patients and giving information about diagnosis.

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