Expert consensus statement on diagnosis and treatment of cancer-related depressed mood state based on Chinese medicine
This consensus statement is organized into six parts: 1) Definitions: cancer-related depressed mood state is defined as a group of depressive symptoms, rather than major depressive disorder. Thus, “cancer-related depression” or “depressed mood state” is introduced as standard terminology and associa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-10-01
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| Series: | Journal of Traditional Chinese Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S209575481600017X |
| _version_ | 1797721454099300352 |
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| author | Shaodan Tian Mei Jia Li Hou Xinyi Chen Dongyun Li Tianwei Guo |
| author_facet | Shaodan Tian Mei Jia Li Hou Xinyi Chen Dongyun Li Tianwei Guo |
| author_sort | Shaodan Tian |
| collection | DOAJ |
| description | This consensus statement is organized into six parts: 1) Definitions: cancer-related depressed mood state is defined as a group of depressive symptoms, rather than major depressive disorder. Thus, “cancer-related depression” or “depressed mood state” is introduced as standard terminology and associated with the Chinese medicine concept of “yu zheng” (depression syndrome). 2) Pathogenesis: factors including psychological stress, cancer pain, cancer fatigue, sleep disorders, surgery trauma, chemotherapy, and radiation therapy are strongly associated with cancer-related depressed mood state. Crucial elements of pathogenesis are cancer caused by depression, depression caused by cancer, and the concurrence of phlegm, dampness, and stasis from constrained liver-qi and spleen deficiency. 3) Symptoms: these include core symptoms, psychological symptoms, and somatic symptoms. Depressed mood and loss of interest are the main criteria for diagnosis. 4) Clinical evaluation: based on the Mini-International Neuropsychiatric Interview and a numeric rating scale, and taking mood changes during cancer diagnosis and treatment into consideration, a questionnaire can be drafted to distinguish between major depressive disorder and cancer-related depression. The aim is to assist oncology clinicians to identify, treat, and refer patients with cancer-related depression. 5) Diagnosis: diagnosis should be based on the Chinese Classification for Mental Disorders (CCMD-3), taking patients' mood changes during diagnosis and treatment into consideration. 6) Treatment: treatments for cancer-related depression must be performed concurrently with cancer treatment. For mild depression, non-pharmacologic comprehensive therapies, including psychological intervention, music therapy, patient education, physical activity, and acupuncture, are recommended; for moderate depression, classical Chinese herbal formulas based on syndrome pattern differentiation combined with antidepressants are suggested; for severe depressive symptoms that have progressed to major depressive disorder, patients should be referred to a psychiatric clinician for specialized care. |
| first_indexed | 2024-03-12T09:33:33Z |
| format | Article |
| id | doaj.art-dd12523381cf4bda984cbca02810d92a |
| institution | Directory Open Access Journal |
| issn | 2095-7548 |
| language | English |
| last_indexed | 2024-03-12T09:33:33Z |
| publishDate | 2015-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Traditional Chinese Medical Sciences |
| spelling | doaj.art-dd12523381cf4bda984cbca02810d92a2023-09-02T13:51:31ZengElsevierJournal of Traditional Chinese Medical Sciences2095-75482015-10-012423524010.1016/j.jtcms.2016.01.016Expert consensus statement on diagnosis and treatment of cancer-related depressed mood state based on Chinese medicineShaodan Tian0Mei Jia1Li Hou2Xinyi Chen3Dongyun Li4Tianwei Guo5Hematology Branch of the Chinese Association of Chinese Medicine, Beijing 100700, ChinaHematology Branch of the Chinese Association of Chinese Medicine, Beijing 100700, ChinaHematology Branch of the Chinese Association of Chinese Medicine, Beijing 100700, ChinaHematology Branch of the Chinese Association of Chinese Medicine, Beijing 100700, ChinaHematology Branch of the Chinese Association of Chinese Medicine, Beijing 100700, ChinaDepartment of Oncology and Hematology, Dongzhimen Hospital, Beijing 100700, ChinaThis consensus statement is organized into six parts: 1) Definitions: cancer-related depressed mood state is defined as a group of depressive symptoms, rather than major depressive disorder. Thus, “cancer-related depression” or “depressed mood state” is introduced as standard terminology and associated with the Chinese medicine concept of “yu zheng” (depression syndrome). 2) Pathogenesis: factors including psychological stress, cancer pain, cancer fatigue, sleep disorders, surgery trauma, chemotherapy, and radiation therapy are strongly associated with cancer-related depressed mood state. Crucial elements of pathogenesis are cancer caused by depression, depression caused by cancer, and the concurrence of phlegm, dampness, and stasis from constrained liver-qi and spleen deficiency. 3) Symptoms: these include core symptoms, psychological symptoms, and somatic symptoms. Depressed mood and loss of interest are the main criteria for diagnosis. 4) Clinical evaluation: based on the Mini-International Neuropsychiatric Interview and a numeric rating scale, and taking mood changes during cancer diagnosis and treatment into consideration, a questionnaire can be drafted to distinguish between major depressive disorder and cancer-related depression. The aim is to assist oncology clinicians to identify, treat, and refer patients with cancer-related depression. 5) Diagnosis: diagnosis should be based on the Chinese Classification for Mental Disorders (CCMD-3), taking patients' mood changes during diagnosis and treatment into consideration. 6) Treatment: treatments for cancer-related depression must be performed concurrently with cancer treatment. For mild depression, non-pharmacologic comprehensive therapies, including psychological intervention, music therapy, patient education, physical activity, and acupuncture, are recommended; for moderate depression, classical Chinese herbal formulas based on syndrome pattern differentiation combined with antidepressants are suggested; for severe depressive symptoms that have progressed to major depressive disorder, patients should be referred to a psychiatric clinician for specialized care.http://www.sciencedirect.com/science/article/pii/S209575481600017XCancerDepressionChinese medicineExpert consensus |
| spellingShingle | Shaodan Tian Mei Jia Li Hou Xinyi Chen Dongyun Li Tianwei Guo Expert consensus statement on diagnosis and treatment of cancer-related depressed mood state based on Chinese medicine Journal of Traditional Chinese Medical Sciences Cancer Depression Chinese medicine Expert consensus |
| title | Expert consensus statement on diagnosis and treatment of cancer-related depressed mood state based on Chinese medicine |
| title_full | Expert consensus statement on diagnosis and treatment of cancer-related depressed mood state based on Chinese medicine |
| title_fullStr | Expert consensus statement on diagnosis and treatment of cancer-related depressed mood state based on Chinese medicine |
| title_full_unstemmed | Expert consensus statement on diagnosis and treatment of cancer-related depressed mood state based on Chinese medicine |
| title_short | Expert consensus statement on diagnosis and treatment of cancer-related depressed mood state based on Chinese medicine |
| title_sort | expert consensus statement on diagnosis and treatment of cancer related depressed mood state based on chinese medicine |
| topic | Cancer Depression Chinese medicine Expert consensus |
| url | http://www.sciencedirect.com/science/article/pii/S209575481600017X |
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