Abstract. Purpose – to study modern approaches used in the world's oncology clinics for medical and psychological support and rehabilitation of patients with colorectal cancer (CRC) at various stages of anticancer treatment. Materials and methods. During the research, available abstract and full-text publications were used, which had been obtained as a result of an information search for 2014–2022 in international databases (PubMed; ScienceDirect; Wiley Online Library; Google Scholar; Directory of Open Access Journals). Results. It has been established that modern scientific sources present conflicting data regarding the psychological states of patients with CRC, from emotional well-being to high levels of distress, anxiety and depression. Foreign scientists are developing and offering various directions of assistance to this group of patients, aimed at the patient's acceptance of the stoma; awareness of the psychological mechanisms of the disease, reduction of the level of distress and anxiety, restoration of interpersonal relations. The programs available in the literature are focused on supporting patients, increasing their physical activity and social aspects of the rehabilitation process after discharge from the hospital, reducing pain syndrome at the palliative stage by using the latest modern computer technologies. The proposed programs are safe for patients and feasible, but vary in effectiveness. Conclusions. Psychological assistance to patients with CRC should include individual and group psychological support for both the patient and their relatives, which will be provided at all stages of the treatment process, namely, preparation for surgical intervention, after surgery, accompanying patients at the stages of chemotherapy or radiotherapy, and in case of relapse and continuation of the disease, transition to palliative medicine.
Keywords: oncology, colorectal cancer, psychological stress, distress, quality of life, psychological support, rehabilitation of cancer patients.
The review is devoted to the hardiness of the individual as a factor of specifi c protection, potentially capable of reducing the risk of developing suicidal behavior. The development of the concept of “hardiness” and the features of its application in the subject field of suicidology are considered. ”Hardiness” is understood as a key
personality variable that mediates the influence of stressful factors (including
chronic ones) on somatic and mental health, as well as on the success of an
activity. It is hardiness that allows a person to endure the fatal anxiety that
accompanies the choice of the future (uncertainty), and not the past (immutability) in a situation of existential dilemma. The source base of the study was 38 publications. High agreement was noted between the authors that hardiness is an important protective
factor for the emergence of suicidal ideations, performs a buffer (antisuicidal) role in a situation of distress, and is part of the normative functions of the human adaptation system. The significance of the contribution of certain parameters of hardiness to the protection of anti-vital and suicidal behavior can vary individually and socioculturally. The linear nature of the influence of the components of the phenomenon
of hardiness on the likelihood of anti-vital and suicidal behavior seems relative.
Significant for the development of suicide prevention measures are
evidence that suicidal risk is associated with a weakening of reserves of hardiness, and a decrease in this risk is possible by strengthening the potential of hardiness through targeted psychosocial interventions. The potential variability of the parameter “hardiness” allows us to consider it as an important target for the prevention of suicide.
Keywords: suicide, suicidal behavior, hardiness, suicide prevention
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