Psychological/psychiatric trauma in patients with penile cancer and partial or total penectomy
Penile cancer, which is a considerable challenge for countries in the developing world, is a mutilated affection for the patient, considering both the local modifications that are determined by it, as well as from the treatment point of view. In this way, for the more advanced disease phase...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
University of Belgrade, University of Novi Sad
2013-01-01
|
| Series: | Archives of Biological Sciences |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0354-4664/2013/0354-46641304293N.pdf |
| _version_ | 1811262071158865920 |
|---|---|
| author | Novac B. Ciobica A. Dobrin R. Ciobotaru M. Costache C. |
| author_facet | Novac B. Ciobica A. Dobrin R. Ciobotaru M. Costache C. |
| author_sort | Novac B. |
| collection | DOAJ |
| description | Penile cancer, which is a considerable challenge for countries in the
developing world, is a mutilated affection for the patient, considering both
the local modifications that are determined by it, as well as from the
treatment point of view. In this way, for the more advanced disease phase,
aggressive therapy with partial or total penectomy is still the conventional
and necessary treatment. There are very few studies about the extent and
nature of the psychological effects of penile cancer. Thus, considering that
psychological/psychiatric dysfunctions in patients with penectomy are likely
to be common and taking into account the current contradictions that exist
regarding this area of research, we decided to evaluate the impact of penile
cancer and/or partial or total penectomy on levels of anxiety and depression,
as studied through some specific scales such as the Hamilton Rating Scale for
Depression (HAM-D) and the Hamilton Anxiety Rating Scale (HAM-A). We found
increased anxiety and depression, especially in the case of the group with
total penectomy, but also in the biopsy group, which comprised patients that
had lesions in the terminal stage, such as an inextirpable tumor. The most
reduced levels of depression and anxiety were observed in the postectomy
group. Our findings presented here and further knowledge about the
psychological, social and sexual aspects of these specific patients will help
health professionals and organizations to identify treatment options and/or
make recommendations for rehabilitation and support services. Additionally,
there is a continuous need to identify and assess proper scales to measure
the psychological/psychiatric trauma in this group of patients, as well as
focusing on the identification of the exact patients that require
professional psychological intervention. |
| first_indexed | 2024-04-12T19:18:34Z |
| format | Article |
| id | doaj.art-be2845f432004facb1977b58d2ecc2cb |
| institution | Directory Open Access Journal |
| issn | 0354-4664 1821-4339 |
| language | English |
| last_indexed | 2024-04-12T19:18:34Z |
| publishDate | 2013-01-01 |
| publisher | University of Belgrade, University of Novi Sad |
| record_format | Article |
| series | Archives of Biological Sciences |
| spelling | doaj.art-be2845f432004facb1977b58d2ecc2cb2022-12-22T03:19:40ZengUniversity of Belgrade, University of Novi SadArchives of Biological Sciences0354-46641821-43392013-01-016541293129810.2298/ABS1304293N0354-46641304293NPsychological/psychiatric trauma in patients with penile cancer and partial or total penectomyNovac B.0Ciobica A.1Dobrin R.2Ciobotaru M.3Costache C.4“Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania“Alexandru Ioan Cuza” University, Iasi, Romania + Center of Biomedical Research of the Romanian Academy, Iasi Branch, Romania“Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania“Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania“Gr. T. Popa” University of Medicine and Pharmacy, Iasi, RomaniaPenile cancer, which is a considerable challenge for countries in the developing world, is a mutilated affection for the patient, considering both the local modifications that are determined by it, as well as from the treatment point of view. In this way, for the more advanced disease phase, aggressive therapy with partial or total penectomy is still the conventional and necessary treatment. There are very few studies about the extent and nature of the psychological effects of penile cancer. Thus, considering that psychological/psychiatric dysfunctions in patients with penectomy are likely to be common and taking into account the current contradictions that exist regarding this area of research, we decided to evaluate the impact of penile cancer and/or partial or total penectomy on levels of anxiety and depression, as studied through some specific scales such as the Hamilton Rating Scale for Depression (HAM-D) and the Hamilton Anxiety Rating Scale (HAM-A). We found increased anxiety and depression, especially in the case of the group with total penectomy, but also in the biopsy group, which comprised patients that had lesions in the terminal stage, such as an inextirpable tumor. The most reduced levels of depression and anxiety were observed in the postectomy group. Our findings presented here and further knowledge about the psychological, social and sexual aspects of these specific patients will help health professionals and organizations to identify treatment options and/or make recommendations for rehabilitation and support services. Additionally, there is a continuous need to identify and assess proper scales to measure the psychological/psychiatric trauma in this group of patients, as well as focusing on the identification of the exact patients that require professional psychological intervention.http://www.doiserbia.nb.rs/img/doi/0354-4664/2013/0354-46641304293N.pdfHAM-AHAM-Dpenectomypenile cancerpostectomy |
| spellingShingle | Novac B. Ciobica A. Dobrin R. Ciobotaru M. Costache C. Psychological/psychiatric trauma in patients with penile cancer and partial or total penectomy Archives of Biological Sciences HAM-A HAM-D penectomy penile cancer postectomy |
| title | Psychological/psychiatric trauma in patients with penile cancer and partial or total penectomy |
| title_full | Psychological/psychiatric trauma in patients with penile cancer and partial or total penectomy |
| title_fullStr | Psychological/psychiatric trauma in patients with penile cancer and partial or total penectomy |
| title_full_unstemmed | Psychological/psychiatric trauma in patients with penile cancer and partial or total penectomy |
| title_short | Psychological/psychiatric trauma in patients with penile cancer and partial or total penectomy |
| title_sort | psychological psychiatric trauma in patients with penile cancer and partial or total penectomy |
| topic | HAM-A HAM-D penectomy penile cancer postectomy |
| url | http://www.doiserbia.nb.rs/img/doi/0354-4664/2013/0354-46641304293N.pdf |
| work_keys_str_mv | AT novacb psychologicalpsychiatrictraumainpatientswithpenilecancerandpartialortotalpenectomy AT ciobicaa psychologicalpsychiatrictraumainpatientswithpenilecancerandpartialortotalpenectomy AT dobrinr psychologicalpsychiatrictraumainpatientswithpenilecancerandpartialortotalpenectomy AT ciobotarum psychologicalpsychiatrictraumainpatientswithpenilecancerandpartialortotalpenectomy AT costachec psychologicalpsychiatrictraumainpatientswithpenilecancerandpartialortotalpenectomy |