The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Cancer Patient with Major Depressive Disorder Initially Suspected of Opioid Dependence or Abuse

암 환자에서 마약성 진통제 의존으로 오인된 우울증 1예

  • Han, Donghoon (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Yun, Jina (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Sewoong (Department of Neuropsychiatry, Soonchunhyang University College of Medicine) ;
  • Kim, Hyunjung (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Park, Sung Kyu (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Jung, Han Yong (Department of Neuropsychiatry, Soonchunhyang University College of Medicine) ;
  • Hong, Daesik (Department of Internal Medicine, Soonchunhyang University College of Medicine)
  • 한동훈 (순천향대학교 의과대학 내과학교실) ;
  • 윤진아 (순천향대학교 의과대학 내과학교실) ;
  • 김세웅 (순천향대학교 의과대학 정신건강의학과학교실) ;
  • 김현정 (순천향대학교 의과대학 내과학교실) ;
  • 박성규 (순천향대학교 의과대학 내과학교실) ;
  • 정한용 (순천향대학교 의과대학 정신건강의학과학교실) ;
  • 홍대식 (순천향대학교 의과대학 내과학교실)
  • Received : 2012.09.27
  • Accepted : 2012.12.07
  • Published : 2013.06.01
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Abstract

The importance of opiate dependence or abuse is increasing in the context of the increasing number of cancer survivors and patients with chronic cancer pain. Cancer patients are likely to have psychological disorders such as depression, anxiety, and sleep disturbances. It is important to distinguish these psychological disorders from opiate dependence or abuse. We report a case of a cancer patient with major depressive disorder who was initially suspected of opiate dependence or abuse.

장기 생존하는 암 환자와 만성적인 암성 통증을 호소하는 환자가 늘어나면서 마약성 진통제의 의존 또는 중독의 문제가 대두되고 있다. 그러나 암 환자들은 우울, 불안, 불면 등 정신건강의 장애를 가지고 있는 경우가 많기 때문에 마약성 진통제 의존 또는 중독과 이런 장애와의 감별은 중요하다. 저자들은 암성 통증의 조절을 위해 마약성 진통제를 사용한 73세 남자 환자에서 마약성 진통제 의존 또는 중독 증상을 의심하였으나, 우울증으로 판명된 1예를 경험하여 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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