Psychological symptoms of illness and emotional distress in advanced cancer cachexia

Amano, Koji, Hopkinson, Jane ORCID: https://orcid.org/0000-0002-3915-9815 and Baracos, Vickie 2022. Psychological symptoms of illness and emotional distress in advanced cancer cachexia. Current Opinion in Clinical Nutrition and Metabolic Care 25 (3) , pp. 167-172. 10.1097/MCO.0000000000000815

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Abstract

Purpose of review Cachexia induces both physical and psychological symptoms of illness in patients with advanced cancer and may generate emotional distress in patients and families. However, physical symptoms of cachexia received the most emphasis. The aims of this review are to elucidate a link between systemic inflammation underlying cachexia and psychological symptoms and emotional distress, and to advance care strategy for management of psychological symptoms and emotional distress in patients and families. Recent findings The main themes in the literature covered by this review are psychological symptoms in patients and emotional distress in patients and families. Studies of the underlying biology of cachexia identify the role of the central nervous system to amplify tumor-induced systemic inflammation. The brain mediates a cluster of symptoms, such as sleep disruption, anxiety, cognitive impairment, and reduction in motivated behavior (notably anorexia). These are distressing to patients as well as to families. Summary There is growing recognition that holistic multimodal interventions are needed to alleviate psychological symptoms and emotional distress and to improve quality of life in patients with cancer cachexia and families. This is an approach that addresses not only physical health but also psychological, emotional, and social well being issues.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Publisher:	Lippincott, Williams & Wilkins
ISSN:	1363-1950
Date of First Compliant Deposit:	19 August 2022
Date of Acceptance:	10 January 2022
Last Modified:	10 Nov 2022 11:50
URI:	https://orca.cardiff.ac.uk/id/eprint/152034

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