An Australian expert has warned that anxiety disorder among cancer patients tends to be ignored by physicians, with serious consequences for the patients.
Speaking at the Clinical Oncological Society of Australias (COSA) Annual Scientific Meeting at Melbourne today, psycho-oncologist Jane Fletcher urged health professionals to keep a close eye on recently diagnosed cancer patients to see if they showed signs of anxiety or distress. She felt that many patients were not having their emotional health assessed and treated.
One in four cancer patients have an anxiety disorder and a small number have more serious conditions such as post-traumatic stress disorder. But some patients are too embarrassed to come forward, and so it was for the doctor to be alert to psychological distress being undergone by them. The problem can be treated with measures such as cognitive behaviour therapy.
In the absence of intervention, patients conditions could escalate rapidly from general anxiety to more serious issues, including panic attacks.
There is a lot of under-reporting, unmet need and high levels of morbidity. The impact [of anxiety disorders] on cancer patients and their family members can be significant and long-term.
Unfortunately, we dont have the clinical culture or training to readily identify and intervene early enough.
Without encouragement and support from health professionals, patients wont raise issues and tend to think anxiety is something they just have to put up with.
But we need oncologists, GPs and other health professionals to be more adept at noticing when their patients exhibit signs of anxiety or distress and to take appropriate action, she said.