Klügel, Stephanie and Lücke, Caroline and Meta, Aurora and Schild-Suhren, Meike and Malik, Eduard and Philipsen, Alexandra and Müller, Helge H. O. (2017) Concomitant psychiatric symptoms and impaired quality of life in women with cervical cancer: a critical review. International journal of women's health, 9. pp. 795-805. ISSN 1179-1411

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Our aim was to summarize the current relevant literature on concomitant psychiatric symptoms with a focus on anxiety/depression in a population with gynecologic cancer; to identify the predictors, associated factors, and prevention strategies of psychiatric disorders; to examine psychiatric disorders in a population with recurrent gynecologic cancer; and to describe the limitations of the literature and future research areas. Little is known about attending psychiatric disorders in patients with gynecologic and other malignant diseases like cervical or breast cancer. However, patients suffering from other types of gynecologic cancer (eg, genital/cervical cancer) may also have an increased risk of psychiatric symptoms. In this review, we identify the potential information deficits in this field. A two-rater independent literature search was conducted using the PubMed/Google Scholar search engines to systematically evaluate the literature on the research objectives, followed by a critical reflection on the results. Of the 77 screened studies, 15 met the criteria for inclusion in this review. Patients with gynecologic malignancies, especially cervical cancer, had a very high prevalence of psychiatric symptoms including depression (33%–52%). Additionally, the risk groups facing higher rates of concomitant reduced quality of life and increased psychiatric symptoms such as depression were identified. Specifically, low socioeconomic status, sexual inactivity, absence of a partner, and physical symptoms were correlated with an increased risk. Patients suffering from recurrent gynecologic cancer should receive particular attention because of their significantly increased risk of depressive symptoms. Screening programs are needed to detect psychiatric symptoms in cervical cancer patients and the associated high-risk groups. Regular screening should be implemented, and psychosocial care should be provided during follow-up.

Item Type: Article
Additional Information: Publiziert mit Hilfe des DFG-geförderten Open Access-Publikationsfonds der Carl von Ossietzky Universität Oldenburg.
Uncontrolled Keywords: gynecologic cancer, comorbidity, psychiatric disorders, depression, coping, resilience
Subjects: Philosophy and psychology > Psychology
Divisions: Faculty of Medicine and Health Sciences > Department of Psychology
Date Deposited: 22 Nov 2017 13:09
Last Modified: 11 Jan 2018 12:08
URI: https://oops.uni-oldenburg.de/id/eprint/3392
URN: urn:nbn:de:gbv:715-oops-34734
DOI: 10.2147/IJWH.S143368

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