The clinical course of cancer and mental adjustment
Joanna Kozaka
Affiliacja i adres do korespondencji
Curr Gynecol Oncol 2015, 13 (1), p. 27–43
DOI: 10.15557/CGO.2015.0004
Streszczenie
The aim of the article is to present the basic aspects of psychological functioning in the situation when an individual
struggles with the diagnosis and treatment of cancer. The article discusses issues of distress experienced by cancer patients
and factors predisposing to more severe distress. Moreover, the problems affecting the level of adjustment to the situation
of disease and treatment are discussed and presented in three dimensions: as factors associated with the patient as an
individual, with the disease itself and with the context of patient’s life. Attention is paid to anticancer treatment, which is
a huge burden for patients and, in many cases, adjustment to such a burden is a considerable challenge. The awareness of
the specificity of psychological reactions to individual stages of the disease is significant for people who work with such
patients or relatives who accompany them through their disease. The paper provides a characteristics of a psychological
reaction to the diagnosis of cancer and presents the specific character of the remission period as well as a possible
recurrence. Moreover, it discusses the advanced and terminal phases of the disease. The aforementioned stages are
presented based on personal relevance of a given stage to the individual patient. Furthermore, the most common emotions
are described and the psychological tasks with which patients struggle in the given stages of cancer are discussed.
The last part of the paper concerns patients’ need for information. The quality and level of communication of the patient with the therapeutic team considerably affects the way they cope with the disease and therapy. The paper also discusses
the most commonly mentioned needs of patients and/or their families at individual stages of the disease and phases
of treatment.
Słowa kluczowe
psychological reactions to diagnosis and treatment of cancer, distress, adjustment to cancer, stages of disease, information needs