International Union for Circumpolar Health Ministry of Public Health and Social Development of RF Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Sciences Medical Polar Fund “Science” The Northern Forum |
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Behavioral Health
Malignant change is one of the main causes of morbidity and lethality of the population in all countries of the world. In association with this, interest of the investigators has increased in problems of psychological rehabilitation of such patients. A special interest is represented by biological and psychosocial methods of treatment in the process of rehabilitation of cancer patients with localization of tumor process in thoracoabdominal section. Because of severity of the course, traumatic operative intervention, frequent use of chemo - and radiotherapy and severe limitations of vitally important functions in this group of patients there are some peculiarities of mental functioning at postoperative and case story stages.
Detailed study of mental state of cancer patients shows that in all the patients at all stages of treatment some psychogenic reactions are observed differing, however, in their clinical manifestations and degree of severity (Bazhin E.F. 1978). Cooley M. E. (2003) investigating patients with cancer of lung at remote stages of treatment has established peculiarities of dynamic that mental disturbances for the first three months after operative treatment are less severe than in subsequent three months.
In our opinion in cancer patients at remote stages of disease (from 3 till a year after operation) nosogenic reactions are diagnosed that can manifest as neurotic reactions and in protracted forms in the kind of lingering hypochondria with establishment of partial load mode, formation of “hypochondria of health» or syndrome of pathological denial of the illness being coded in corresponding to heading of ICD-10 (F-43.8), as “other reactions toward hard stress”. Timely detection and adequate treatment of such disturbances essentially improves the quality of life of these patients and influences the prognosis of index disease.
Note. Abstracts are published in author's edition
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