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Клиническая медицина » Хирургия • Трансфузиология
Том: 12 Статья: « 63 » Страницы:. 747-762 Опубликована в журнале: август 2011 г. English version Онкологические и гематологические заболевания и коморбидные психические расстройства (обзор литературы)Тарасова Е. В., Масагутов Р. М., Бакиров Б. А., Бессмельцев С.С.*
ГОУ ВПО «Башкирский государственный медицинский университет», г.Уфа, ул. Ленина -3, тел. 89177300779, e-mail: Littledoctor@mail.ru * - Российский научно-исследовательский институт гематологии и трансфузиологии, Санкт-Петербург
Резюме
В научном обзоре освещена проблема коморбидности психических расстройств и злокачественных заболеваний. Отражены литературные данные о распространенности тревожных и депрессивных расстройств, в том числе посттравматического стрессового расстройства (ПТСР), при онкологических и гематологических заболеваниях и состояниях после интенсивной терапии. Приведено сравнение встречаемости психических расстройств при злокачественных заболеваниях крови и другой онкологической патологии. Представлены данные о возможной связи между показателями тревоги, депрессии, ПТСР и генерализацией процесса (наличие отдаленных метастазов), степенью инвазивности при лечении, качеством информирования пациентов о заболевании, видом медицинской страховки и семейным положением. Злокачественные заболевания крови рассматриваются как возможный психотравмирующий фактор. Ключевые слова злокачественные заболевания крови, коморбидные психические расстройства, тревога, депрессия, посттравматическое стрессовое расстройство. 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