Chemotherapy can be an important treatment for cancer patients, but it can also cause emotional distress and depression. This article explores the psychological impact of chemotherapy and ways to support patients. Tools for assessing depression and psychological distress are also discussed.
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Effect of Chemotherapy on Cancer Patient Chemotherapy can be an important treatment for the cancer patients. Chemotherapy is considered as important for prolonging the survival and reducing the disease symptoms (Harrington & Smith, 2008). However, there are many adverse effects of the chemotherapy on the physical and mental status of the patient that could prevent them from active engagement in their life and ca also reduce the quality of patient’s life. One of the most significant side effects or the symptom of chemotherapy is emotional and mental distress (Wampaalu et al. 2016). Study conducted by Pasquini & Biondi (2007) depression has also identified that depressive symptoms and symptoms of emotional distress are identified among the cancer patients undergoing chemotherapy. While caring for a cancer patient during my placement in the palliative care ward, I identified the symptom of emotional distress and depression as highly prevalent among the patients undergoing chemotherapy. The effect of emotional distress and depression was that, patient became hopeless and lost all confidence to get better. It has been identified that palliative care team supports the patients by providing patient-centred care and involving patient’s family members to enhance emotional and social support. However, the mental and psychological impact of chemotherapy is unlikely to be avoided or prevented (Aslam et al. 2014). The main reason of the psychological distress among the patient undergoing chemotherapy treatment is “Chemotherapy-induced peripheral neurotoxicity” (Hong, Tian, & Wu, 2014, p. 174). I focused on enhancing the social and emotional support for the patient, by which patient felt better and was able to cope with his condition. However, something that could have done better, was to enhance patient’s engagement in relaxation techniques, enhancing patient’s functional status and working towards improving sleep quality (Hong, Tian, & Wu,
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2014; Wampaalu et al. 2016). Controlling the pain is also a significant aspect of improving the quality of life of cancer patients. Study conducted by Pasquini, & Biondi (2007) Has identified the instruments or tools of assessing the depression and psychological distress among Cancer patient. These tools include BSI (Brief Symptoms Inventory) and the HADS (Hospital Anxiety and Depression Scale). These tools can be used for the recognition of the psychological distress among patient undergoing chemotherapy. Some of the other tools identified in the literature are the CenterforEpidemiologicalStudies–DepressionScale(CES-D),theGeneralHealth Questionnaire–12 (GHQ-12), and the Patient Health Questionnaire–9 (PHQ-9) (Grassi et al. 2015; Vodermaier, Linden & Siu, 2009). The negative experience of the patient due to chemotherapy can significantly affect them. Also, the side effects of chemotherapy are not just temporary, but can exist for many years affecting the quality of life of the patient for many years (Aslam et al. 2014). The patient can be effectively supported during chemotherapy, by engaging the patient with relaxations techniques, such as music therapy or massage therapy. Patients can also be involved in various other coping therapies and coping strategies through which the psychological distress can be reduced (Bergerot, Araujo, & Tróccoli, 2014).
References Aslam, M. S., Naveed, S., Ahmed, A., Abbas, Z., Gull, I., & Athar, M. A. (2014). Side effects of chemotherapy in cancer patients and evaluation of patients opinion about starvation based differential chemotherapy.Journal of Cancer Therapy,5(8), 817. Bergerot, C. D., Araujo, T. C. C. F. D., & Tróccoli, B. T. (2014). Assessment of distress amongchemotherapypatients:Acomparativestudyofgender.Paidéia(Ribeirão Preto),24(57), 56-65. Grassi, L., Caruso, R., Sabato, S., Massarenti, S., & Nanni, M. G. (2015). Psychosocial screening and assessment in oncology and palliative care settings.Frontiers in psychology,5, 1485. Harrington, S. E., & Smith, T. J. (2008). The role of chemotherapy at the end of life:“when is enough, enough?”.Jama,299(22), 2667-2678. Hong,J.S.,Tian,J.,&Wu,L.H.(2014).Theinfluenceofchemotherapy-induced neurotoxicity on psychological distress and sleep disturbance in cancer patients.Current Oncology,21(4), 174-180. Pasquini, M., & Biondi, M. (2007).Depressionin cancer patients: a critical review.Clinical Practice and Epidemiology in Mental Health,3(1), 2. Vodermaier, A., Linden, W., & Siu, C. (2009). Screening for emotional distress in cancer patients: a systematic review of assessment instruments.Journal of the National Cancer Institute,101(21), 1464-1488. Wampaalu,P. B., Eriksson, L. E., Naamala, A., Nabirye, R. C., & Wettergren, L. (2016). Experiences of patients undergoing chemotherapy-a qualitative study of adults attending Uganda Cancer Institute.African health sciences,16(3), 744-749.