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Prise en charge d’un patient psychotique atteint de cancer : réfuter la perte de chance d’une double pathologie

Management of a schizophrenic patient with cancer: refusing the loss of chance due to a dual condition

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Psycho-Oncologie

Résumé

Conjuguer psychose et cancer n’est pas une situation exceptionnelle. Une telle comorbidité psychiatrique risque de constituer une perte de chance dans les stratégies de soins de la maladie cancéreuse. Après avoir abordé les principaux facteurs limitant la prise en charge en service d’oncologie, nous proposerons une conduite pratique à tenir tendant à l’optimisation des soins. Pour finir, deux vignettes cliniques illustreront notre propos.

Abstract

The existence of combined psychosis and cancer isn’t an exceptional situation. Such psychiatric comorbidities could result in a loss of chance regarding care strategies in cancer. We will first review the limiting factors of an adequate treatment for these patients in oncologic settings, then we will propose some guidelines for optimizing disease management. Finally, two clinical vignettes about psychotic patients with cancer will complete our reflection.

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Références

  1. Cimpean D, Torrey WC, Green AI (2005) Schizophrenia and co-occurring general medical illness. Psychiatric Annals 35(1):70–81

    Google Scholar 

  2. Dauchy S (2007) Le patient psychotique atteint de cancer. In: Dolbeault S, Dauchy S, Bredat A, Consoli SM (eds) La psychooncologie. John Libbey Eurotext, Paris, pp 124–31

    Google Scholar 

  3. Green AI (2006) Treatment of schizophrenia and comorbid substance abuse: pharmacologic approaches. J Clin Psychiatry 67(Suppl. 7):31–5

    PubMed  Google Scholar 

  4. Inagaki T, Yasukawa R, Okazaki S, et al (2006) Factors disturbing treatment of cancer in patiens with schizophrenia. Psychiatry Clin Neurosci 60(3):327–31

    Article  PubMed  Google Scholar 

  5. Kunkel EJ, Wood CM, Rodgers C, et al (1997) Consultations for “maladaptive denial of illness” in patients with cancer: psychiatric disorders that result in non complance. Psycho-oncology 6(2):139–49

    Article  PubMed  Google Scholar 

  6. Limousin S (2004–2005) À propos de deux cas cliniques - réflexion d’un psychiatre. Mémoire de diplôme inter-universitaire de psychooncologie clinique. Université René-Descartes (Paris V), pp 8–22

    Google Scholar 

  7. Massie MJ (1989) Schizophrenia. In: Holland JC, Rowland JH (eds) Handbook of psycho-oncology: psychological care of the patient with cancer. Oxford University Press, New York, pp 320–3

    Google Scholar 

  8. Reich M, Gaudron C (2009) Caractéristiques et prise en charge du patient psychotique en cancérologie. Bull Cancer 96:227–37

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Pôle psychiatrie centre, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, F-13385, Marseille cedex 05, France

    S. Limousin

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  1. S. Limousin
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Correspondence to S. Limousin.

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Limousin, S. Prise en charge d’un patient psychotique atteint de cancer : réfuter la perte de chance d’une double pathologie. Psycho Oncologie 4, 17–21 (2010). https://doi.org/10.1007/s11839-010-0244-8

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  • DOI: https://doi.org/10.1007/s11839-010-0244-8

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