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  • Lymphedema is generally accepted as chronic, progressive life-long disease affecting the patients both physically and psychologically. Therefore, lymphedema requires from psychosomatic point of view standing adaptation on the disease. Since 10/205 till 12/2013 in general 746 lymphedema patients underwent complex treatment. Collected knowledge evoked consequential cognitions. The lymphedema patients underwent complex treatment. Collected knowledge evoked consequential cognitions. The lymphedema patients are influenced by a planty of psychosocial factors as breaked body-image, limitations in dressing, problems in family and partner's relation (incl. sexual life), limited social interactions and other factors, decreasing pts'quality of life. The onset of anxiety and depression causes a lack of ptˇs self-care and worsening of lymphedema. This situation needs a special treatment. Conventional psychotherapy on it's own is insuufficient. rational psychopharmacological approach (antidepressive and anxiolytic drugs) must be integrated into pt's complex treatment (in cooperation with-psychospecialist). The onset of depression seems to be very often unrecognized by %22somatic%22 doctors from specific reasons: at first - signals of earyl signs of depression are often qualified as a lack of will lazyness, hypersensibility or hysteric recation and at second - lymphologist might underestimate the fact, that depressive symtoms may manifest themselves not only in %22verbal sphre%22 but also %22nonverbally%22 and therefore, might be casilly overlooked. depresion strikes the patints he becomes passive, apathetic and ignores the treatment daily-regime. So a %22vitious circle%22starts: depression ... increasing ptˇs pasivity ... decreasing treatment effort ... progression of lymphedema ... worsening of depression. Summary: Nowadays complex decongestive therapy(CDT) of lymphedema is based on psychosomatic conception of the disease and needs interdisciplinary cooperation.
  • Lymphedema is generally accepted as chronic, progressive life-long disease affecting the patients both physically and psychologically. Therefore, lymphedema requires from psychosomatic point of view standing adaptation on the disease. Since 10/205 till 12/2013 in general 746 lymphedema patients underwent complex treatment. Collected knowledge evoked consequential cognitions. The lymphedema patients underwent complex treatment. Collected knowledge evoked consequential cognitions. The lymphedema patients are influenced by a planty of psychosocial factors as breaked body-image, limitations in dressing, problems in family and partner's relation (incl. sexual life), limited social interactions and other factors, decreasing pts'quality of life. The onset of anxiety and depression causes a lack of ptˇs self-care and worsening of lymphedema. This situation needs a special treatment. Conventional psychotherapy on it's own is insuufficient. rational psychopharmacological approach (antidepressive and anxiolytic drugs) must be integrated into pt's complex treatment (in cooperation with-psychospecialist). The onset of depression seems to be very often unrecognized by %22somatic%22 doctors from specific reasons: at first - signals of earyl signs of depression are often qualified as a lack of will lazyness, hypersensibility or hysteric recation and at second - lymphologist might underestimate the fact, that depressive symtoms may manifest themselves not only in %22verbal sphre%22 but also %22nonverbally%22 and therefore, might be casilly overlooked. depresion strikes the patints he becomes passive, apathetic and ignores the treatment daily-regime. So a %22vitious circle%22starts: depression ... increasing ptˇs pasivity ... decreasing treatment effort ... progression of lymphedema ... worsening of depression. Summary: Nowadays complex decongestive therapy(CDT) of lymphedema is based on psychosomatic conception of the disease and needs interdisciplinary cooperation. (en)
Title
  • Anxiety and depression - complicating factors of lymphedema treatment
  • Anxiety and depression - complicating factors of lymphedema treatment (en)
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  • Anxiety and depression - complicating factors of lymphedema treatment
  • Anxiety and depression - complicating factors of lymphedema treatment (en)
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  • RIV/65269705:_____/14:00061775!RIV15-GA0-65269705
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  • P(GAP407/12/0607)
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  • RIV/65269705:_____/14:00061775
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  • breast cancer; lymphedema; depression; anxiety (en)
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  • [BC9986906FCF]
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  • Minář, Luboš
  • Bendová, Marcela
  • Benda, Karel
  • Skřivanová, Kateřina
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