The Risk and The Course of Cancer Among People with Severe Mental Illness.

Q2 Medicine Clinical Practice and Epidemiology in Mental Health Pub Date : 2023-12-03 eCollection Date: 2023-01-01 DOI:10.2174/17450179-v17-e211208-2021-HT2-1910-8
Luigi Grassi, Daniel McFarland, Michelle Riba
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Abstract

The paucity of data regarding patients with Serious Mental Illness (SMI) and cancer is alarming given the fact that people with SMI, especially schizophrenia, bipolar disorders and severe depressive disorders, have in general poorer access to physical health care and higher morbidity and mortality because of physical illnesses. The aims of this review were to examine the current evidence from existing literature on the risk of developing cancer and its course among people with SMI. Equivocal results emerge regarding the risk of developing some kind of cancer among people with SMI, with contrasting data on a possible higher, similar or lower risk in comparison with the general population. In contrast, a series of studies have pointed out that patients with SMI who develop cancer are less likely to receive standard levels of cancer care, both in terms of screening, diagnosis and treatment. Also, the mortality for cancer has been confirmed to be higher than the general population. A global sensitization about these problems is mandatory in an era in which community psychiatry has been developed in all countries and that policies of prevention, treatment, follow up, and palliative care should regard all the segments of the population, including people with SMI, through an interdisciplinary approach.

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严重精神疾病患者罹患癌症的风险和病程。
鉴于严重精神疾病(SMI)患者,尤其是精神分裂症、双相情感障碍和严重抑郁障碍患者,通常较难获得身体保健服务,且因身体疾病而导致的发病率和死亡率较高,有关严重精神疾病(SMI)患者和癌症的数据之少令人震惊。本综述旨在研究现有文献中关于 SMI 患者罹患癌症的风险及其病程的证据。关于 SMI 患者罹患某种癌症的风险,结果不尽相同,与普通人群相比,他们罹患癌症的风险可能更高、相似或更低。相反,一系列研究指出,罹患癌症的 SMI 患者在筛查、诊断和治疗方面接受标准水平癌症护理的可能性较低。此外,癌症死亡率也被证实高于普通人群。在所有国家都发展社区精神病学的时代,必须对这些问题进行全球宣传,预防、治疗、随访和姑息治疗政策应通过跨学科的方法考虑到包括 SMI 患者在内的所有人群。
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来源期刊
Clinical Practice and Epidemiology in Mental Health
Clinical Practice and Epidemiology in Mental Health Medicine-Psychiatry and Mental Health
CiteScore
5.30
自引率
0.00%
发文量
17
期刊介绍: Clinical Practice & Epidemiology in Mental Health is an open access online journal, which publishes Research articles, Reviews, Letters in all areas of clinical practice and epidemiology in mental health covering the following topics: Clinical and epidemiological research in psychiatry and mental health; diagnosis, prognosis and treatment of mental health conditions; and frequencies and determinants of mental health conditions in the community and the populations at risk; research and economic aspects of psychiatry, with special attention given to manuscripts presenting new results and methods in the area; and clinical epidemiologic investigation of pharmaceutical agents. Clinical Practice & Epidemiology in Mental Health, a peer reviewed journal, aims to provide the most complete and reliable source of information on current developments in the field. The emphasis will be on publishing quality articles rapidly and freely available worldwide.
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