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Review
. 2023 Sep 1;17(3):240-246.
doi: 10.1097/SPC.0000000000000659. Epub 2023 Jul 10.

Psychological support for chronic conditions

Luke Solomons  1 , Catherine Farrar  2 , Lindsay Carpenter  1
Affiliations
Review

Psychological support for chronic conditions

Luke Solomons et al. Curr Opin Support Palliat Care. .

Abstract

Purpose of review: Haematological conditions are varied, and every condition presents unique psychosocial challenges to patients and their families. There is a growing body of evidence about high levels of psychological distress, negative impact on outcomes and evidence-based treatments, yet service provision is patchy and demand far exceeds supply.

Recent findings: This article focuses on the major subspecialty areas and associated neuropsychiatric comorbidities - haematological malignancies, issues related to stem cell transplants, haemoglobinopathies and haemophilia. The subsequent sections focus on common psychiatric comorbidities, considerations across the life span and models of care.

Summary: Anxiety disorders and depression have higher prevalence in people with haematological conditions. The stressors faced by the individual can vary based on their condition and their stage of life. Early diagnosis and integrated management of comorbid psychiatric illness can improve quality of life and clinical outcomes. A stepped care model is recommended to ensure that psychological distress is identified and managed appropriately, and evidence for a collaborative care model is provided.

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References

    1. Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol 2011; 12:160–174.
    1. Gheihman G, Zimmermann C, Deckert A, et al. Depression and hopelessness in patients with acute leukemia: the psychological impact of an acute and life-threatening disorder. Psycho-Oncology 2016; 25:979–989.
    1. Ding T, Wang X, Fu A, et al. Anxiety and depression predict unfavorable survival in acute myeloid leukemia patients. Medicine (Baltimore) 2019; 98:e17314.
    1. Levenson JL, McClish DK, Dahman BA, et al. Depression and anxiety in adults with sickle cell disease: the PiSCES project. Psychosom Med 2008; 70:192–196.
    1. Blood cancer UK statistics on blood cancer 2021. http:// bloodcancer.org.uk/understanding blood cancer . [Accessed April 2023].