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Dr Chido Rwafa Madzvamutse-Mental Wellness

As discussed in previous articles, mental health is defined as a state of well-being in which an individual realises his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a meaningful contribution to their community.

Cancers are a leading cause of death and disability worldwide. 

A diagnosis of cancer is life changing and can affect the mental wellbeing of those affected and their families and loved ones.

How does cancer affect mental wellbeing?

Up to one third of patients with cancer will struggle with some form of psychological distress and common mental health problems.

The problems include adjustment disorders, anxiety and depression.

Patients may struggle to adjust and accept the diagnosis of cancer, deterioration in health status and the impact of treatment. 

Depression affects up to 20 percent of patients with cancer and maybe a psychological reaction to the cancer diagnosis and burden of treatment. 

Depression may also be an effect of certain cancer types or as a result of certain treatment modalities (‘chemo brain’ and post radiotherapy mood complications). 

Anxiety affects 10 percent of patients with cancer and may be due to distress about the diagnosis or care plan. This may result in generalised anxiety or episodic intense panic attacks.

How does one’s mental health impact cancer treatment and care?

Mental ill health can be a barrier to accessing appropriate cancer diagnosis, treatment and care.

Those with depression may have poorer cancer-related outcomes and are less likely to follow treatment plans or take prevention screening recommendations. 

Severe mental illness, dementia and substance use are linked to lower chances of survival after cancer diagnoses. 

Poor recognition and inadequate treatment of common mental health problems in patients with cancer is associated with poor quality of life and lower rates of recovery.

Treating mental health problems has been shown to improve cancer outcomes.

How can the mental health of patients with cancer be better supported?

1. Encourage emotional awareness as well as self-care in patients with cancer to promote early recognition of mental health problems if they arise.

2. Support positive, life giving self-talk.

3. Promote self-efficacy and a sense of autonomy during the treatment process.

4. Support families and caregivers to ensure a strong support system for the patient and to prevent caregiver fatigue.

5. Raising awareness and advocacy for mental health wellbeing in the community.

6. Encourage support groups for those affected with cancer and their families. Support groups help people realise that they are not alone and facilitate giving and receiving of support as well as opportunities to build meaningful relationships.

If you think that you or someone you know may be struggling with a mental health disorder linked to cancer, please contact your nearest health care provider and get help.

Association of Health Care Funders of Zimbabwe (AHFoZ) article written by: Dr Chido Rwafa Madzvamutse, Consultant Psychiatrist 

Feedback: (Dr. Chido Rwafa-Madzvamutse +263777727332)(www.ahfoz.org ; [email protected])