Abstract
Background The diagnostic cancer in incurable stages, the transition to palliative care because of disease progression are significant psychological challenge for the patient. Psychological help for cancer patients during palliative treatment are no less important than medical therapy. Methods The study conducted at the Kyiv City Clinical Cancer Center during the 2012 - 2013 years in two phases. In first phase provided psychological investigation psychological condition of incurable cancer patients and its dynamics during palliative therapy with followed qualitative analysis of the data – participated 436 patients. Second phase included determining factors of psychological maladjustment and evaluation intensity of mental distress – participated 63 palliative cancer patients. The SCL-90r used for assessment of psychic distress. Results The prominent psychopathological symptoms in incurable cancer patients were somatization, depression and nonspecific symptoms. Less pronounced signs of mental distress in descending order of severity were anxiety, hostility, paranoid ideation, interpersonal sensitivity, obsessive-compulsive, psychoticism and phobic anxiety. Factors of psychological distress in cancer patients during palliative care include high physical distress; the impossibility of total control on physical and psychological symptoms; chronic pain; progressive deterioration of physical well-being; need to use opioids for relief pain; need for help; existential nature of stress; individual psychological characteristics. In patients identified psychological phenomena related to the palliative phase of treatment: psychological induction "pendulum", externalizing of mental stress, decentralization. Conclusion Cancer patients in the palliative stage of treatment experiencing intensive psychological distress and clinically constitute a special group with specific psychological needs, which need to be consider in providing psychological care.
Highlights
The diagnostic cancer in incurable stages, the transition to palliative care because of disease progression are signicant psychological challenge for the patient
The SCL-90r used for assessment of psychic distress
In patients identied psychological phenomena related to the palliative phase of treatment: psychological induction "pendulum externalizing of mental stress, decentralization
Summary
The prominent psychopathological symptoms in incurable cancer patients were somatization, depression and nonspecic symptoms. Less pronounced signs of mental distress in descending order of severity were anxiety, hostility, paranoid ideation, interpersonal sensitivity, obsessive-compulsive, psychoticism and phobic anxiety. Factors of psychological distress in cancer patients during palliative care include high physical distress; the impossibility of total control on physical and psychological symptoms; chronic pain; progressive deterioration of physical well-being; need to use opioids for relief pain; need for help; existential nature of stress; individual psychological characteristics. In patients identied psychological phenomena related to the palliative phase of treatment: psychological induction "pendulum externalizing of mental stress, decentralization
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