title: Psychosocial impact of cancer cachexia.
abstract: BACKGROUND
  Cancer cachexia has impact on patients and their family members. Patients experience loss of weight often accompanied by anorexia and other debilitating symptoms that have clinical impact and impact everyday life. The importance of understanding this impact lies in (1) the alleviation of cachexia-related suffering and (2) its implications for treating cachexia.
  
  
  METHODS
  Two decades of exploratory investigation of the manifestations, meaning and management of cancer cachexia reveal emotional and social impacts for both patients and their carers. Patients can describe change in appearance and loss of physical strength often accompanied by change in eating habits (amount, type and pattern of food intake). The psychosocial effects can include loss of independence, sense of failure, sense of helplessness, conflict with family members over food, social isolation and thoughts of death. They are effects that can distress. Conversely, weight loss, especially early in its course and for those who are obese, can be perceived as beneficial, which inhibits self-management of diet and physical activity.
  
  
  CONCLUSIONS
  Models of the psychosocial effects of cancer cachexia have been developed, leading to, as yet unproven, propositions of how negative patient and family impacts can be addressed. This literature overlooks the potential importance of psychosocial intervention to emerging multimodal treatments for the multicausal syndrome. Psychosocial intervention in cachexia should be tested for potential to help people affected by cancer cachexia feel better but also for potential to make people better by aiding uptake and compliance with multimodal therapy.
authors.affiliation: Cardiff School of Healthcare Sciences, Cardiff University, Cardiff, Wales, UK, HopkinsonJB@cardiff.ac.uk.
authors.forename: Jane B
authors.initials: JB
authors.lastname: Hopkinson
references.citation: J Pain Symptom Manage. 2010 Nov;40(5):684-95
references.pmid: 20678895
references.citation: Ann Oncol. 2014 Aug;25(8):1492-9
references.pmid: 24569913
references.citation: Cancer Nurs. 2009 Mar-Apr;32(2):118-26
references.pmid: 19258826
references.citation: Palliat Med. 2007 Apr;21(3):227-33
references.pmid: 17641076
references.citation: Nurs Clin North Am. 1983 Mar;18(1):119-28
references.pmid: 6403929
references.citation: Am J Clin Nutr. 2006 Jun;83(6):1345-50
references.pmid: 16762946
references.citation: Diabetes Metab Syndr Obes. 2013 Nov 06;6:421-6
references.pmid: 24232691
references.citation: Ann Oncol. 2008 Sep;19 Suppl 7:vii289-93
references.pmid: 18790968
references.citation: J Adv Nurs. 2006 May;54(3):304-12
references.pmid: 16629915
references.citation: Curr Opin Support Palliat Care. 2010 Dec;4(4):254-8
references.pmid: 20881500
references.citation: Lancet Oncol. 2011 May;12(5):489-95
references.pmid: 21296615
references.citation: Int J Nurs Stud. 2009 May;46(5):606-16
references.pmid: 19081090
references.citation: Palliat Med. 2006 Sep;20(6):623-9
references.pmid: 17060256
references.citation: Palliat Med. 2007 Mar;21(2):129-37
references.pmid: 17344261
references.citation: Psychooncology. 2010 Sep;19(9):967-74
references.pmid: 19950254
references.citation: J Pain Symptom Manage. 2006 Apr;31(4):293-305
references.pmid: 16632077
references.citation: Am J Clin Nutr. 2010 Apr;91(4):1133S-1137S
references.pmid: 20164322
references.citation: Am Heart J. 2012 Dec;164(6):835-45.e2
references.pmid: 23194483
references.citation: Hosp J. 1991;7(3):73-84
references.pmid: 1820305
references.citation: J Hum Nutr Diet. 2011 Oct;24(5):470-8
references.pmid: 21733142
references.citation: J Wound Ostomy Continence Nurs. 2005 Jul-Aug;32(4):264-8
references.pmid: 16030467
references.citation: Eur J Cancer Care (Engl). 2010 Sep;19(5):682-9
references.pmid: 19912306
references.citation: J Health Psychol. 2004 Jul;9(4):467-81
references.pmid: 15231050
references.citation: Support Care Cancer. 2009 Nov;17(11):1345-51
references.pmid: 19618218
references.citation: J Pain Symptom Manage. 2013 Jul;46(1):77-95
references.pmid: 23159682
references.citation: Front Pharmacol. 2013 Jul 25;4:91
references.pmid: 23898295
references.citation: J Adv Nurs. 2007 Sep;59(5):454-62
references.pmid: 17590214
references.citation: Int J Palliat Nurs. 2007 Jun;13(6):258-65
references.pmid: 17851381
references.citation: Oncol Nurs Forum. 1997 Nov-Dec;24(10):1751-7
references.pmid: 9399273
references.citation: J Cachexia Sarcopenia Muscle. 2012 Dec;3(4):281-301
references.pmid: 23180446
references.citation: J Palliat Med. 2003 Oct;6(5):737-48
references.pmid: 14622453
references.citation: Lung Cancer. 2008 Apr;60(1):113-124
references.pmid: 17976859
references.citation: J Pain Symptom Manage. 2013 Jun;45(6):1039-49
references.pmid: 23102755