림프부종의 정신과적 관리

정석훈¹^,^*

Psychiatric Management of Lymphedema

Seockhoon Chung¹^,^*

¹울산대학교 의과대학 서울아산병원 정신건강의학과

¹Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

^*Corresponding Author : Seockhoon Chung, MD, PhD, Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro, 43-gil, Songpa-gu, Seoul 05505, Korea, Tel: +82-2-3010-3411, Fax: +82-2-485-8381, E-mail: schung@amc.seoul.kr

ⓒ Copyright 2020 Korean Society of Lymphology and Lymphedema. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: May 23, 2020; Accepted: May 27, 2020

Published Online: May 30, 2020

Abatract

Lymphedema is a serious condition which can affect patients’ quality of life. Physical conditions such as limb swelling, inflammation, or odors from the skin defect, affects mental health status of cancer patients. Patients with lymphedema suffer from various psychiatric symptoms such as depression, anxiety, or insomnia, and these psychiatric symptoms can also reduce their quality of life. Unfortunately, proper diagnosis and management for psychiatric problems were not widely applied to patients with lymphedema. Major depressive disorder can reduce the compliance of cancer patients to regular treatment, and resultantly may reduce the survival rate. Anxiety disorder can disturb patients’ daily life. And also, sleep disturbance, may come from daytime fatigue symptoms related with cancer-related conditions, may decrease patients’ quality of life. In this review, important psychiatric disease frequently observed among patients with lymphedema will be reviewed and discussed.

Keywords: Cancer; Depression; Insomnia; Lymphedema