| Abstract [eng] |
Aim of the study: To analyze psychiatric and psychosocial problems and ways to manage them in adolescents and young adults (AYA) with cancer. Objectives: 1. To analyze the psychiatric problems described in the scientific literature that arise in AYAs with cancer. 2. To examine the psychosocial problems described in the scientific literature that are characteristic of AYAs facing cancer. 3. Based on scientific literature, identify the main solutions to the problems faced by AYA individuals with cancer. 4. To assess the psychiatric and psychosocial problems, the need for assistance, and the experiences related to the assistance provided to two AYA patients facing cancer. Methods: A descriptive 2016 – 2026 literature review and two case studies were conducted. A semi-structured interview was used to interview patients. Results: A review of the foreign literature showed that AYAs with cancer face various psychiatric and psychosocial problems specific to their stage of life. More frequently than the general population, AYAs experience psychological distress, anxiety, and depression, as well as a fear of cancer recurrence and sleep disturbances. By disrupting the course of AYAs’ lives, cancer affects psychosocial domains such as body image, social life, work capacity, romantic relationships, and fertility. The data from the literature review were supplemented by the examples of two AYA patients who had breast cancer. After interviewing the patients using a semi-structured interview method, it became clear that the cancer diagnosis and treatment significantly affected their lives, causing various psychiatric and psychosocial problems. Conclusions: 1. Support provided to AYAs with cancer must include early problem identification, a coordinated and competent team of specialists, addressing individual psychological and psychosocial needs, and follow-up care after treatment. 2. Differences in patients’ experiences related to the treatment and support they received reveal gaps in coordinated and competent care tailored to individual patient needs in Lithuania. |
