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Yıl:2014; Cilt: 7; Sayı: 4>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2014;7(4):78-84
Terminal Dönem Kanserli Hastada Psikiyatrik Bozuklukların Yönetimi
İ Kırpınar
 Bezmiâlem Vakıf Üniversitesi, İstanbul
Terminal dönem kanser hastalarında psikiyatrik belirtiler ve bozukluklar oldukça yaygındır. Hastalar fiziksel acıları yanında kanserin ve kötü seyrin duygusal yükü ile de baş etmek zorundadırlar. İlerlemiş kanseri olan hastaların yaklaşık yarısı en sık uyum bozuklukları ve major depresyon olmak üzere bir psikiyatrik bozukluk tanı ölçütlerini karşılarlar. Bu gözden geçirme, ilerlemiş kanseri olan hastalarda en sık görülen psikiyatrik bozukluklar olan uyum bozuklukları, depresif bozukluklar ve deliryumun epidemiyolojisi, değerlendirilmesi, tedavisi ve yönetimi üzerine odaklanmaktadır. Psikiyatristler terminal dönem kanserin yönetiminde önemli bir rol oynayabilirler. Psikiyatrik bozuklukların yönetimi ve tedavisi, ilerlemiş kanseri olan hastalarda yaşam kalitesini düzeltir.
The Management of Psychiatric Disorders in Patients with Terminally Term Cancer
Emotional distress and psychiatric disorders are common among patients with advanced cancer. In addition to suffering physical distress, patients have to deal with the emotional impact of their illness and poor prognosis. About 50% of patients with advanced cancer meet criteria for a psychiatric disorder, the most common being adjustment disorders and major depression. This review has focused on the epidemiology, assessment, management and treatment of most common psychiatric disorders (adjustment disorders, depressive disorders, anxiety and delirium) in patients with advanced cancer. Psychiatrists play an important role in management for terminally term cancer. The management and treatment of the psychiatric disorders improves quality of life in patients with advanced cancer.

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