Cancer-Related Lymphedema and Psychological Distress

Document Type

Article

Publication Date

11-1-2024

Publication Title

Current psychiatry reports

Abstract

PURPOSE OF REVIEW: Cancer-related lymphedema (CRL) places an already vulnerable patient population at risk for the development and worsening of psychological distress. The purpose of this review is to highlight factors contributing to distress in lymphedema secondary to breast, head and neck, genitourinary cancers, and melanoma and discuss pertinent treatment considerations.

RECENT FINDINGS: Multiple factors contribute to distress in CRL, including changes in body image, sleep, sexuality, functional capacity, and social interaction. There is limited literature describing psychopharmacological considerations in CRL, though exercise, which may be used for the treatment of depression and anxiety, may also improve CRL. Psychiatrists, oncologists, physiatrists, palliative medicine physicians, and physical and occupational therapists should have an awareness and understanding of CRL. To effectively manage distress in these patients, it is crucial to be mindful of psychotropic side-effect profiles, emphasize non-pharmacologic modalities including psychotherapy and exercise, and ensure patients receive evidence-based treatments for CRL.

Medical Subject Headings

Humans; Lymphedema; Psychological Distress; Neoplasms; Stress, Psychological

PubMed ID

39377989

Volume

26

Issue

11

First Page

635

Last Page

642

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