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암 환자의 정신사회적 특성과 정신 건강

Psychosocial Aspects and Mental Health in Cancer Patients

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대한신경정신의학회 (Korean Neuropsychiatric Association)|2007.09|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제46권 제5호|pp. 421-429

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참고문헌

키워드

암·적응·정신사회적 측면·우울·불안·정서적 고통·삶의 질.Cancer· Adaptation· Psychosocial aspect· Depression· Anxiety· Distres· Quality of life.
주제분류정신과학

초록

암의 예방과 진행 및 암 환자의 삶의 질에는 정신사회적 요소가 중요한 영향을 미친다. 따라서 암의 전 단계에 걸쳐서 환자들의 정서적 고통과 비적응적 대처 방식을 조기에 발견하고 이를 관리하는 것은 치료의 순응도를 높이고 환자의 삶의 질을 높이는 데 중요하다. 즉, 암 환자의 정서적 고통이나 삶의 질, 그리고 적응장애, 섬망, 우울증, 불안장애 등 흔히 발생하는 정신과 질환에 대해서 적절한 평가와 치료적 개입이 이루어져야 한다. 암 환자의 심리적 문제에 대한 평가와 치료 시에는, 암과 관련된 요인 뿐만 아니라 환자의 내적 자원, 대인 관계, 가족 문제 등에 대한 다양한 영향을 고려하여 생물학적, 심리적, 사회적 요소에 대한 통합적 접근이 필요하다. 아직 암의 정신사회적 측면에 대한 치료진과 환자의 이해 부족과 정신과 치료에 대 한 부정적 인식 등으로 인해 정신과 치료나 정신사회적 접근이 잘 이루어지지 않고 있기 때문에 이에 대한 적극적 인 교육, 홍보, 연구가 활발히 진행되어야 할 것이다.

Abstract

Cancer patients suffer from significant psychological distress and considerable psychological morbidity throughout the course of their disease. The diagnosis of cancer, active treatment, palliative care and aftermath of cancer involve a long process of adaptation to multiple threats and stressful events. This review focused on psychosocial aspects of cancer, psychological reaction and adaptation of patients to cancer, psychological issues and psychiatric disorders in patients with cancer, and the need for screening of psychological distress at all stages of illness. (J Korean Neuropsychiatr Assoc 2007;46(5):421-429)

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관련 논문AI추천

암 환자와 가족에 대한 정신의학적 · 심리사회적 개입조성진대한신경정신의학회 · 신경정신의학2007 · 제46권 제5호암 환자를 위한 심리사회적 개입 연구의 개관이란, 김종남한국건강심리학회 · 한국심리학회지: 건강2008 · 제13권 제2호암환자 디스트레스(distress)의 선별, 평가 및 관리박예슬, 유은승한국임상심리학회 · Korean Journal of Clinical Psychology2019 · 제38권 제2호암환자들의 정신과 자문의뢰의 임상적 특성과 항우울제 사용에 대한 국내 다기관 연구고영훈, 김성완, 김태석, 박진성, 백종우, 양종철, 오강섭, 이강준, 이병철, 임세원, 최병무, 하주원, 하지현대한신경정신의학회 · 신경정신의학2012 · 제51권 제6호암 환자의 정신병리와 치료 목적에 대한 인지 및 삶의 질의 관계김봉조, 김승남, 박철수, 손진욱, 이다원, 이소진, 이철순, 차보석대한생물치료정신의학회 · 생물치료정신의학2011 · 제17권 제1호암환자 보호자의 정신병리와 삶의 질김봉조, 김승남, 박철수, 손진욱, 이다원, 이철순, 차보석대한생물치료정신의학회 · 생물치료정신의학2010 · 제16권 제2호

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