Diagnosis and management of depression in terminal cancer
- Author:
Leslie LIM
- Publication Type:Journal Article
- Keywords:
Suicide - Prevention and control
- MeSH:
Depressive Disorder - Diagnosis
- From:
Proceedings of Singapore Healthcare
2007;16(2):88-96
- CountryChina
- Language:English
-
Abstract:
Depression, a prevalent condition in cancer sufferers is unfortunately often unrecognised and untreated. Depressive symptoms can cause considerable morbidity and mortality thus giving rise to distress and reduced quality of life. Diagnosis is fraught with difficulties owing to overlaps between psychiatric and medical symptoms. One should therefore rely more on psychological symptoms and adopt an inclusive approach in diagnosing depression. Assessment should take into account medical complications which may contribute to or worsen depression as well as the availability and adequacy of social supports. Assessment of suicide risk is paramount since suicide rates are increased in the terminally ill. Psychosocial interventions play just an important a role as pharmacological treatment. Psychostimulants are of benefit. It is also important to manage pain symptoms as severe, unremitting pain may trigger depressive symptoms and suicidal action.
