Psychiatric, behavioral, and cognitive disorders in patients with extracranial cancers

Gabriella Pravettoni, Bernardo Dell’Osso, Tommaso Bocci, Francesca Cortese, Roberta Ferrucci, Valentina Lampis, Chiara Rosci, Alberto Priori

Research output: Contribution to journalArticle

Abstract

Patients with cancer may report neuropsychiatric abnormalities including cognitive impairment, behavioral disturbances, and psychiatric disorders that potentially worsen their quality of life, reduce their treatment response, and aggravate their overall prognosis. Neuropsychiatric disturbances have a different pathophysiology, including immuno-inflammatory and neuroendocrine mechanisms, as a consequence of oncologic treatments (chemo- and radio-therapy). Among clinicians involved in the management of such patients, psychiatrists need to pay particular attention in recognizing behavioral disturbances that arise in oncologic patients, and determining those that may be effectively treated with psychotropic medications, psychotherapeutic interventions, and an integration of them. Through the contribution of different clinicians actively involved in the management of oncological patients, the present review is ultimately aimed at updating psychiatrists in relation to the pathophysiological mechanisms responsible for the onset of cognitive, affective, and behavioral syndromes in these patients, along with epidemiologic and clinical considerations and therapeutic perspectives.

Original languageEnglish
Pages (from-to)388-401
Number of pages14
JournalCNS Spectrums
Volume23
Issue number6
DOIs
Publication statusPublished - 2018

Keywords

  • Cognitive impairment
  • extracranial cancer
  • neuropathology
  • psychiatric symptoms
  • treatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health

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