Adjustment to Cancer: Anxiety and Distress (PDQ®)

In order to effectively match the needs of patients to therapeutic interventions, healthcare workers must be able to distinguish between regular difficulties of normal coordination and more serious mental illness. To help with this assessment, healthcare professionals need to understand the differences between various related concepts, as described below.

Regular coordination: Coordination for cancer or psychosocial adaptation is a process in which individual patients manage mental distress, cope with certain cancer-related problems, and progress that attempts to acquire or manage life-related events related to cancer It is defined as a process in. [1-3] Adjustment of cancer is not a single single event but a series of sustained responses to multiple tasks related to cancer. (For details, see "Regular adjustment" in this summary.)

Psychosocial distress: Cancer pain is a "psychological (ie, cognitive, behavioral, emotional), social, spiritual and / or psychological condition that may interfere with the ability to respond effectively to cancer Physically uncomfortable experience "is defined. Treatment: Pain is continuously applied from ordinary emotions such as normal fragility, sorrow, fear, to problems that may cause physical disorders such as depression, anxiety, panic, social isolation, presence and mental crisis It spreads. (For more information, see the psychosocial distress section of this summary.)

Adjustment disorders: dysregulation, Diagnostic category of the American Psychiatric Association, Fifth Edition of Mental Disorders Diagnostic and Statistical Manual (DSM-5) [6] is a clinically significant emotion linked to social, occupational or social It is characterized by the presence of symptoms or behavioral symptoms. In other important functional areas, significant pain or serious damage occurs. Symptoms occur in response to identifiable causes of psychosocial stress (eg cancer diagnosis) and are less severe than diagnosable mental disorders such as major depression and generalized anxiety disorder and represent normal death It is not something. (For more information, please refer to the "Adjustment Barrier" section of this summary.)

Anxiety disorder: Anxiety disorder is a group of mental disorders that include generalized symptoms including excessive anxiety, fear, fear, anxiety and / or fear. Although some anxiety may be adaptive to stress factors such as cancer in particular, anxiety disorders are excessive, unfounded and often illogical fears, fears and fears. DSM - 5 classes of anxiety disorder include generalized anxiety disorder, panic disorder, regional phobia, social anxiety disorder, specific phobia, obsessive compulsive disorder and post - traumatic stress disorder. [6] (For more information, see the "Anxiety Disorders: Description and Cause" section of this summary.)

Continuation of pain. Psychosocial distress continues to exist from normal adjustment problems to syndromes that satisfy complete diagnostic criteria for mental disorders.

Depression and anxiety are the focus of research on the negative psychological response of cancer survivors, but other types of pain have recently gained attention. Many disease - free cancer survivors have some anxiety about the possibility of cancer recurrence. In a sustained and serious case, this concern can be painful and may adversely affect the quality of life. A self-filing list has been created to measure the risk of recurrence, but for the purpose of estimating its prevalence, there must be a recurrence to constitute a clinically significant "case" There must be some fear of (or the duration it will last). It is impossible to estimate the prevalence of cancer survivors until an agreement is reached on the definition of "recurrence of fear".

Regular adjustment: Adjustment to cancer or psychosocial adaptation is an ongoing process in which individual patients attempt to manage mental distress, cope with certain cancer-related problems, and to acquire or manage life-related phenomena associated with cancer It is defined as a process. Adaptation to cancer is not a single single event but a series of ongoing reactions to multiple problems associated with cancer. (For details, see "Regular adjustment" in this summary.)