Elenco degli autori                                                                                                                                                                

Prefazione                                                                                                                                                                                        

 

1. Fattori comportamentali di rischio                                                                                                                                         

    (D. Raziavi, F. De Brier, C. Primo, M. Bodo, H. Vandecasteele)

 

Le abitudini alimentari                                                                                                                                                                   

Il consumo di alcol                                                                                                                                                            

Le abitudini sessuali                                                                                                                                                       

Esposizione al sole                                                                                                                                                              

Tabagismo                                                                                                                                                                                 

Problematica: modificazione dl comportamento tabagico                                                                                        

-    La prevenzione del tabagismo                                                                                                                                

          •  Questioni generali

          •  Iniziazione al tabagismo

          •  Interventi

-    La disintossicazione da tabacco                                                                                                                    

   •  Questioni generali

   •  Il mantenimento del tabagismo

   •  Sospensione dei comportamenti tabagici e ricadute

   •  Programmi di disintossicazione in azienda

   •  Programmi di disintossicazione in ospedale

Conclusione                                                                                                                            

Bibliografia                                                                                                                              

 

2. Fattori psicosociali di rischio                                                                                          

    (D. Razavi, G. Chvetzoff, C. Farvacques, M. Reich, M. Kashefi)

 

Influenze psicobiologiche                                                                                           

Diagnosi precoce                                                                                                                   

Relazione tra stress e cancro                                                                                             

-    Questioni generali                                                                                                                                   

-    Personalità e adattamento                                                                                                                                           

-    Sostegno sociale                                                                                                                                                    

-    Fattori di stress e altre variabili                                                                                                                    

Problematica: fattori genetici di rischio                                                                                           

-    Questioni generali                                                                                                                                   

-    Predisposizione familiare al tumore della mammella e dell’ovaio                                                                    

-    Aspetti psicosociali                                                                                                                                            

-    Aspetti etici                                                                                                                                                         

Conclusione                                                                                                                            

Bibliografia                                                                                                                              

 

3. L’adattamento psicologico                                                                                                   

    (D. Razavi, N. Delvaux, M. De Cock)

 

Fase dei primi sintomi                                                                                                          

Fase diagnostica                                                                                                         

Fase del trattamento                                                                                                                  

-    Radioterapia                                                                                                                                                             

-    Chirurgia                                                                                                                                                                   

-    Chemioterapia                                                                                                                                                           

-    Trattamenti alternativi                                                                                                                                              

Fasi di remissione e di guarigione                                                                                          

Fase di ricaduta                                                                                                                      

Fasi preterminale e terminale                                                                                                    

Problematiche                                                                                                                         

-    Sviluppo del concetto                                                                                                                                                 

-    Diniego e repressione                                                                                                                                           

-    Attribuzioni                                                                                                                                                           

-    Confronto sociale                                                                                                                                                  

-    L’immagine di sé                                                                                                                                                   

-    Sessualità                                                                                                                                                

-    Fertilità                                                                                                                                                                    

-    Qualità di vita                                                                                                                                                        

-    QALY                                                                                                                                                                      

Conclusione                                                                                                                          

Bibliografia                                                                                                                            

 

4. Adattamento e disturbi psichiatrici                                                                                            

    (D. Razavi, N. Delvaux, F. De Brier)

 

La prevalenza                                                                                                                        

Descrizione clinica                                                                                                      

Definizioni                                                                                                                             

Fattori predittivi                                                                                                        

Problematiche                                                                                                                       

-    Anoressia                                                                                                                                                

-    Stanchezza                                                                                                                                                              

-    Suicidio                                                                                                                                                                   

Conclusione                                                                                                                          

Bibliografia                                                                                                                            

 

5. Disturbi mentali organici

    (D. Razavi, M. Reich, D. Lossignol, R. Hanot, N. Delvaux)

 

Classificazioni

Sintomi e diagnosi differenziale

Prevalenza

Eziologie

-    Fattori biologici

-    Fattori iatrogeni

-    Danni cerebrali

Valutazioni

Trattamenti

-    Trattamenti sintomatici

-    Trattamenti eziologici

-    Assistenza alla famiglia

-    Assistenza all’équipe curante

-    Prevenzione, diagnosi precoce e cure palliative

Conclusione

Bibliografia

 

6. Dolore e analgesia

    (D. Lossignol, D. Razavi, N. Delvaux)

 

Aspetti psicologici

Sindromi dolorose

-    Infiltrazione neoplastica

   •  Metastasi ossee

   •  Infiltrazione neoplastica della colonna vertrebale

   •  Plessopatia brachiale

   •  Plessopatia lombo-sacrale

   •  Cefalee e dolori cervico-facciali

   •  Dolori viscerali

-    Dolori “iatrogeni”

   •  Sindromi dolorose postchirurgiche

   •  Sindromi dolorose postchemioterapiche

   •  Sindromi dolorose postradioterapiche (o postradiche)

Trattamenti

-    Questioni generali

-    Farmaci non narcotici

-    Farmaci narcotici

   •  Tolleranza e dipendenza

   •  Farmacologia degli oppiacei

   •  Altri morfinici importanti

-    Analgesici cosiddetti “coadiuvanti” o “coanalgesici”

   •  Antidrepressivi triciclici

   •  Caffeina

   •  Antiepilettici

   •  Steroidi

   •  Anfetamine

   •  Nefopam

   •  Inibitori NMDA

   •  Derivati della cannabis

-    Analgesia controllata dal paziente (ACP)

-    Approccio anestesiologico

Problematica: la rotazione degli oppiacei

Conclusione

Bibliografia

 

7. Reazione della famiglia

    (D. Razavi, A. Brédart, N. Delvaux, P. Hennaux)

 

Fase di diagnosi e di trattamento

Fasi di remissione e di guarigione

Fasi preterminale e terminale

Problematica: il lutto

-    Questioni generali

-    Complicazioni

-    Effetti del lutto sulla salute fisica

-    Fattori di rischio

Conclusione

Bibliografia

 

8. Lo stress del personale curante

    (N. Delvaux, D. Razavi, I. Merckaert)

 

Fattori di stress

-    Aspetti generali

-    Aspetti specifici

Le conseguenze dello stress

Problematica: la sindrome da burnout

Conclusione

Bibliografia

 

Tabelle e illustrazioni

Indice analitico

Indice