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Quelle prise en charge psychologique dans l’après-cancer ?

Les recommandations de la Société Française de Psycho-Oncologie (SFPO)

What psychological care should there be after cancer?

Guidelines from the French Psycho-Oncology Society (SFPO)

  • Recommandations De La SFPO / SFPO Guidelines
  • Published:
Psycho-Oncologie

Résumé

L’après-cancer, phase de transition, représente pour le patient un réel travail psychique. Des difficultés, tant somatiques que psychiques, peuvent émerger très à distance de la survenue du cancer. Élaborées tout au long de la préparation du 29e congrès de la SFPO (Caen, octobre 2012), les recommandations de la SFPO ont pour objectif de mieux appréhender cette période et les difficultés associées, et de soutenir une évolution de l’organisation des soins psychooncologiques dans l’après-cancer, ainsi que leur intégration à la prise en charge globale et continue du patient. Cette intégration repose entre autres sur la qualité du maillage ville/hôpital (qualité des transmissions) et l’accessibilité au long cours des soins psychiques. Elle est garante de l’adaptation des soins psychiques à la réalité somatique comme de la prise en compte des facteurs émotionnels dans les symptômes physiques. Ces recommandations, ancrées sur une analyse de la littérature et l’expertise professionnelle collective, définissent: 1) l’importance de l’évaluation de l’état psychologique des patients et du contexte familial dans l’après-cancer par les équipes oncologiques hospitalières et les acteurs de soins de ville, y compris devant tout symptôme physique sévère; 2) la nécessité d’une évaluation spécialisée par un professionnel du soin psychique devant toute symptomatologie émotionnelle durable ou itérative, tout symptôme fonctionnel persistant, toute plainte cognitive ou toute difficulté de reprise des rôles familiaux et socioprofessionnels; 3) les modalités d’anticipation des difficultés de l’aprèscancer; 4) la nécessité d’accès aux soins psychiques dans le long terme; 5) la nécessité d’intégrer systématiquement dans le programme personnalisé de soins une consultation psychologique; 6) les perspectives de recherche.

Abstract

The post-cancer period is a transition phase, and one that is very difficult psychologically for the patient. Issues, both somatic as well as psychological, can develop even if the cancer occurred a long time ago. Developed while preparing for the 29th congress of the SFPO (Caen, October 2012), the aim of the SFPO guidelines is to raise awareness of this period and its associated difficulties, and to support development of the organisation of psycho-oncology care for this post-cancer period, as well as its integration into the overall and continued treatment for patients. This integration is based, amongst other things, on the quality of the town hospital health network (quality in communication) and the accessibility of long-term psychological care. This integration ensures that psychological support is adapted to meet somatic reality, such as taking emotional factors associated with physical symptoms into consideration. These recommendations, based on an analysis of the literature and collective professional expert opinions, define: 1) the importance of an assessment of the patients’ psychological state and of the family circumstances in the post-cancer period by hospital-based oncology teams and those working in town-based practices, and including any severe physical symptoms; 2) the need for a specialised assessment by a mental health professional in light of any long-term or repeated emotional symptoms, any persistent functional symptoms, any cognitive issues or any difficulty in returning to family and socio-professional roles; 3) the methods of anticipating post-cancer issues; 4) the need for access to long-term psychological care; 5) the need to systematically integrate psychologist appointments into the individual care programme; and 6) research ideas.

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Authors and Affiliations

  1. Département interdisciplinaire de soins de support, Institut de Cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, F-94805, Villejuif, France

    S. Dauchy, D. Boinon & C. Charles

  2. Champcueil, France

    F. Ellien

  3. Paris, France

    A. Lesieur, S. Dolbeault, A. Heuguerot, S. Pucheu & E. Seigneur

  4. Clermont-Ferrand, France

    O. Bezy & M. Chabrier

  5. Caen, France

    F. Joly & J. -L. Machavoine

  6. Montpellier, France

    L. Lemaitre

  7. Strasbourg, France

    E. Marx

  8. Saint-Cloud, France

    G. Marx

  9. Avignon, France

    I. Piollet-Calmette

  10. Lille, France

    M. Reich

Authors
  1. S. Dauchy
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  2. F. Ellien
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  3. A. Lesieur
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  4. O. Bezy
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  5. D. Boinon
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  6. M. Chabrier
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  7. C. Charles
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  8. S. Dolbeault
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  9. F. Joly
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  10. A. Heuguerot
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  11. L. Lemaitre
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  12. J. -L. Machavoine
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  13. E. Marx
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  14. G. Marx
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  15. I. Piollet-Calmette
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  16. S. Pucheu
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  17. M. Reich
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  18. E. Seigneur
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Corresponding author

Correspondence to S. Dauchy.

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Cite this article

Dauchy, S., Ellien, F., Lesieur, A. et al. Quelle prise en charge psychologique dans l’après-cancer ?. Psycho Oncologie 7, 4–17 (2013). https://doi.org/10.1007/s11839-013-0409-3

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  • DOI: https://doi.org/10.1007/s11839-013-0409-3

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