Psychological complications of chemotherapy and management among cancer patients: A review for physcian education in Nigeria

Abstract

Author(s): Akaba kingsley, Okoi obono Nta, Obanife Henry Oshatuyi Olukayode, Emmanuel Olose, Edakabasi Akaba

Chemotherapy is associated with several psychological complications in cancer patients. These complications are underestimated by most physicians in the cancer space especially in low and middle-income countries which can be attributed to either lack of awareness or knowledge base and this have a deleterious effect on the management. This complication ranges from anxiety, depression, cognitive impairment, fatigue and sleep disturbance, posttraumatic stress disorder, to social isolation. The effect of this complication cannot be underscored among cancer patients. Therefore, management strategies for this complication such as psychotherapy, pharmacological intervention, support group, sleep hygiene, family and caregiver support, spiritual/religious support, cognitive rehabilitation/training, art and creative activity are sacrosanct for quality management. Hence psychological complications constitute significant and often underappreciated aspect of the cancer treatment experience, particularly for those undergoing chemotherapy. Early identification, assessment and intervention are pivotal in addressing these complications through a combination of psychological support, pharmacotherapy and integrative care approaches are essential for improving patient outcomes. Future research should continue to explore the mechanisms underlying these psychological effects and develop policy or algorithm and targeted interventions to mitigate their impact.

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