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Psychiatric Care of the Radiation Oncology Patient

机译：放射肿瘤学患者的精神病护理

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Background: In recent decades, psychiatrists have become increasingly involved in the care of patients with cancer. Psychiatrists are often less familiar with the field of radiation oncology than with other medical specialties. Objective: Therefore, it is beneficial for consulting psychiatrists to be familiar with the basic principles of radiation therapy (RT) and its potential neuropsychiatric sequelae. Methods: We performed a PubMed search to identify articles describing neuropsychiatric symptoms resulting from RT, including anxiety, claustrophobia, posttraumatic stress disorder, and neurocognitive impairment. We also searched for other sequelae of RT that may produce psychiatric symptoms, such as radiation necrosis and endocrinopathies. We provide a basic introduction to the delivery of RT. Results: Psychiatrists may be involved in the treatment of patients before, during, or after RT, and each phase of treatment produces unique considerations. Anxiety about the treatment, especially the need for immobilization with a mask, can be treatment limiting. Adverse effects from treatment, including cognitive impairment and endocrinopathies, can result in psychiatric symptoms. Conclusions: Consulting psychiatrists should be familiar with the basic principles of RT and the neuropsychiatric sequelae that may result from the treatment. Further research is needed to identify strategies to help patients tolerate RT and to identify additional preventive and therapeutic options for RT-induced cognitive impairment.
机译：背景：近几十年来，精神科医生越来越多地参与癌症患者的照顾。精神科医生通常不太熟悉放射肿瘤的领域，而不是与其他医学专业。目的：因此，有利于精神科医生熟悉放射治疗（RT）的基本原则及其潜在的神经精神病因。方法：我们进行了一种百衰的搜索，以识别描述神经精神症状的文章，包括RT，包括焦虑，幽闭恐惧症，错误抑制和神经认知障碍。我们还搜索了RT的其他后遗症，可能会产生精神症状，例如放射性坏死和内分泌病。我们提供RT的交付的基本介绍。结果：精神科医生可以参与前，期间或之后的患者，每相治疗都会产生独特的考虑因素。对治疗的焦虑，尤其是用掩模固定的需要，可以进行治疗限制。治疗的不良反应，包括认知障碍和内分泌疗法，可能导致精神症状。结论：咨询精神科医生应熟悉RT和神经精神病因的基本原理，可能由治疗产生。需要进一步研究来确定帮助患者耐受性RT的策略，并确定RT引起的认知障碍的额外预防和治疗方案。

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