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Depression in Cancer Patients: Title and subTitle BreakAn Approach to Differential Diagnosis and Treatment FREE

John R. Peteet, MD
[+] Author Affiliations

Reprint requests to Division of Psychiatry, Peter Bent Brigham Hospital, 721 Huntington Ave, Boston, MA 02115 (Dr Peteet).


JAMA. 1979;241(14):1487-1489. doi:10.1001/jama.1979.03290400047021
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Despite recent attention to death and dying, many questions remain about the diagnosis and treatment of depression in cancer patients. To provide a framework for effective treatment, this article distinguishes the following types of depression: (1) transient stress reactions, (2) major psychiatric disturbances requiring prompt attention, and (3) other depressive reactions. Depressions in the third general category, comprising the majority, are often mismanaged because of characterological, interpersonal, and organic factors receive insufficient attention. Understanding of such factors provides a basis for rational intervention with both patients and their families.

(JAMA 241:1487-1489, 1979)

REFERENCES

Weisman A:  Death from a fatal illness: Cancer , in Dying and Denying . New York, Behavioral Publications, 1972;, pp 95-121.
Pattison EM (ed):  Help with dying , in The Experience of Dying . Englewood Cliffs, NJ, Prentice-Hall Inc, 1977;, pp 316-326.
Kübler-Ross E: On Death and Dying . New York, MacMillan Co, 1969;,  chap 3 -7.
Abrams RD:  The patient with cancer: His changing patterns of communication . N Engl J Med 274:317-322, 1966;.
Shoenberg BA, Carr A, Kutscher A, et al (eds):  Suggested stages and response styles in life-threatening illness , in Anticipatory Grief . New York, Columbia University Press, 1974;, pp 53-78.
Koenig R:  Dying vs. well-being . Omega 4:181-184, 1973;.
Levinson P:  Obstacles in the treatment of dying patients . Am J Psychiatry 132:28-32, 1975;.
Lindemann E:  Symptomatology and management of acute grief . Am J Psychiatry 101:141-148, 1944;.
Brantner J:  Life threatening disease as a manageable crisis . Sem Oncol 1:153-157, 1974;.
Kahana RJ, Bibring GL:  Personality types in medical management , in Zinberg NE (ed): Psychiatry and Medical Practice in a General Hospital . New York, International Universities Press Inc, 1964;, pp 108-133.
Strain JJ, Grossman S (eds):  Psychological reactions to medical illness and hospitalization , in Psychological Care of the Medically Ill: A Primer in Liaison Psychiatry . New York, Appleton-Century-Crofts Inc, 1975;, pp 23-36.
Schildkraut JJ, Klein DF:  The classification and treatment of depressive disorders , in Shader RI (ed): Manual of Psychiatric Therapeutics . Boston, Little Brown & Co, 1976;, pp 39-61.

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Weisman A:  Death from a fatal illness: Cancer , in Dying and Denying . New York, Behavioral Publications, 1972;, pp 95-121.
Pattison EM (ed):  Help with dying , in The Experience of Dying . Englewood Cliffs, NJ, Prentice-Hall Inc, 1977;, pp 316-326.
Kübler-Ross E: On Death and Dying . New York, MacMillan Co, 1969;,  chap 3 -7.
Abrams RD:  The patient with cancer: His changing patterns of communication . N Engl J Med 274:317-322, 1966;.
Shoenberg BA, Carr A, Kutscher A, et al (eds):  Suggested stages and response styles in life-threatening illness , in Anticipatory Grief . New York, Columbia University Press, 1974;, pp 53-78.
Koenig R:  Dying vs. well-being . Omega 4:181-184, 1973;.
Levinson P:  Obstacles in the treatment of dying patients . Am J Psychiatry 132:28-32, 1975;.
Lindemann E:  Symptomatology and management of acute grief . Am J Psychiatry 101:141-148, 1944;.
Brantner J:  Life threatening disease as a manageable crisis . Sem Oncol 1:153-157, 1974;.
Kahana RJ, Bibring GL:  Personality types in medical management , in Zinberg NE (ed): Psychiatry and Medical Practice in a General Hospital . New York, International Universities Press Inc, 1964;, pp 108-133.
Strain JJ, Grossman S (eds):  Psychological reactions to medical illness and hospitalization , in Psychological Care of the Medically Ill: A Primer in Liaison Psychiatry . New York, Appleton-Century-Crofts Inc, 1975;, pp 23-36.
Schildkraut JJ, Klein DF:  The classification and treatment of depressive disorders , in Shader RI (ed): Manual of Psychiatric Therapeutics . Boston, Little Brown & Co, 1976;, pp 39-61.
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