Neuropsychiatric Disorders and Frailty in Older Adults over the Spectrum of Cancer: A Narrative Review.

anxiety attitude cancer depression frailty motivation neuropsychiatry older adults sleep disturbances support

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
05 Jan 2022
Historique:
received: 26 10 2021
revised: 26 11 2021
accepted: 02 12 2021
entrez: 11 1 2022
pubmed: 12 1 2022
medline: 12 1 2022
Statut: epublish

Résumé

The interplay between different neuropsychiatric conditions, beyond dementia, in the presence of a diagnosis of cancer in older adults may mediate patients' fitness and cancer-related outcomes. Here, we aimed to investigate the presence of depression, sleep disturbances, anxiety, attitude, motivation, and support in older adults receiving a diagnosis of cancer and the dimension of frailty in order to understand the magnitude of the problem. This review provides an update of the state of the art based on references from searches of PubMed between 2000 and June 2021. The evidence obtained underscored the tight association between frailty and unfavorable clinical outcomes in older adults with cancer. Given the intrinsic correlation of neuropsychiatric disorders with frailty in the realm of cancer survivorship, the evidence showed they might have a correlation with unfavorable clinical outcomes, late-life geriatric syndromes and higher degree of frailty. The identification of common vulnerabilities among neuropsychiatric disorders, frailty, and cancer may hold promise to unmask similar shared pathways, potentially intercepting targeted new interventions over the spectrum of cancer with the delivery of better pathways of care for older adults with cancer.

Sections du résumé

BACKGROUND BACKGROUND
The interplay between different neuropsychiatric conditions, beyond dementia, in the presence of a diagnosis of cancer in older adults may mediate patients' fitness and cancer-related outcomes. Here, we aimed to investigate the presence of depression, sleep disturbances, anxiety, attitude, motivation, and support in older adults receiving a diagnosis of cancer and the dimension of frailty in order to understand the magnitude of the problem.
METHODS METHODS
This review provides an update of the state of the art based on references from searches of PubMed between 2000 and June 2021.
RESULTS RESULTS
The evidence obtained underscored the tight association between frailty and unfavorable clinical outcomes in older adults with cancer. Given the intrinsic correlation of neuropsychiatric disorders with frailty in the realm of cancer survivorship, the evidence showed they might have a correlation with unfavorable clinical outcomes, late-life geriatric syndromes and higher degree of frailty.
CONCLUSIONS CONCLUSIONS
The identification of common vulnerabilities among neuropsychiatric disorders, frailty, and cancer may hold promise to unmask similar shared pathways, potentially intercepting targeted new interventions over the spectrum of cancer with the delivery of better pathways of care for older adults with cancer.

Identifiants

pubmed: 35008421
pii: cancers14010258
doi: 10.3390/cancers14010258
pmc: PMC8796027
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Mariya Muzyka (M)

IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Department of Internal Medicine and Medical Specialties (DIMI), Section of Geriatrics, 16132 Genoa, Italy.

Luca Tagliafico (L)

IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Department of Internal Medicine and Medical Specialties (DIMI), Section of Geriatrics, 16132 Genoa, Italy.

Gianluca Serafini (G)

IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132 Genoa, Italy.

Ilaria Baiardini (I)

IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.

Fulvio Braido (F)

IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Department of Internal Medicine and Medical Specialties (DIMI), Section of Geriatrics, 16132 Genoa, Italy.

Alessio Nencioni (A)

IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Department of Internal Medicine and Medical Specialties (DIMI), Section of Geriatrics, 16132 Genoa, Italy.

Fiammetta Monacelli (F)

IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Department of Internal Medicine and Medical Specialties (DIMI), Section of Geriatrics, 16132 Genoa, Italy.

Classifications MeSH