bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2020-2-16-25bekhterev-418Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWДепрессия и рак: основные направления международных исследованийDepression and Cancer (literature review)БлинковА. Н.BlinkovA. N.

Блинков Александр Николаевич—кандидат психологических наук, доцент

5780604@mail.ruРоссийская академия народного хозяйства и государственной службы при Президенте РФРоссияThe Russian Presidential Academy of National Economy and Public Administration under the President of the Russian FederationRussian Federation202009072020021625Copyright © Блинков А.Н., 20202020Блинков А.Н.Blinkov A.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/418

В обзорной статье раскрываются проблемы распространенности, диагностики, этиопатогенеза, последствий и психосоциального лечения депрессии у пациентов онкологического профиля согласно данным зарубежной литературы. Показано, что проявления эмоционального дистресса у онкологических пациентов значительно выше, тогда как распространенность большого депрессивного расстройства сравнима с показателями общей популяции. Депрессия может развиваться как реакция на постановку диагноза рака, посредством активизации нейроиммуноэндокринных механизмов реагирования на стресс, и может быть следствием биологических изменений, сопровождающих опухолевый процесс и его лечение. На современном этапе развития психосоциального лечения данного контингента больных все чаще разрабатываются и применяются программы доступной комплексной помощи пациентам, состоящие из нескольких модулей и проводимые непрофессионалами в области психического здоровья

Current review describes the issues of prevalence, diagnosis, pathogenesis, implications, and psychosocial treatment of depression in oncology patients. The prevalence of emotional disorders in oncology patients is significantly higher while the prevalence of major depressive disorder is comparable to the numbers presented among general population. The depression can occur as a psychological reaction of personality in response to the diagnosis of cancer, due to specific neuro-immuno-endocrine mechanisms related to this stress factor, and can be developed in the course of biological changes, caused by the progressive malignant process and its chemotherapy treatment. Modern comprehensive psychosocial care programs for oncology patients with depression have been designed and consist of several modules. These therapeutic programs are applied in clinical practice and mostly delivered by nonprofessionals in the field of mental health.

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The authors declare that there are no conflicts of interest present.