Chance of psychiatric morbidity amongst recently diagnosed cancer outpatients attending a chemotherapy unit

Chance of psychiatric morbidity amongst recently diagnosed cancer outpatients attending a chemotherapy unit

Author Chaves, Ana Cristina Autor UNIFESP Google Scholar
Pinto, Renata Novaes Autor UNIFESP Google Scholar
Lourenço, Maria Teresa Duarte Pereira da Cruz Autor UNIFESP Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Hospital A.C. Camargo
Abstract The prevalent rate of psychiatry morbidity amongst patients with cancer reported in various studies ranges from 5 to 50%, a variation that can be attributed to differences in sample size, the disease itself and treatment factors. The objectives of the present study were to determine the frequency of psychiatric morbidity amongst recently diagnosed cancer outpatients and try to identify which factors might be related to further psychological distress. Two hundred and eleven (70.9%) female patients and 87 (29.1%) male patients from the chemotherapy unit of the Cancer Hospital A.C. Camargo (São Paulo) completed a questionnaire that featured data on demographic, medical and treatment details. The Self Reporting Questionnaire (SRQ-20) was administered to the patients to determine their personal psychiatric morbidity. Seventy-two patients (25.8%) scored> or = 8 in the SRQ-20, the cut-off point for a patient to be considered a psychiatric case. When the low and high scoring groups were compared no differences were detected regarding age, marital status, tumor site, sex, or previous treatment. Nonetheless, patients in the lowest social class and those who were bedridden less than 50% of the time had a significantly higher probability of being a psychiatric case. Regarding help-seeking behavior in situations in which they had doubts or were frightened, about 64% of the total sample did not seek any type of support and did not talk to anyone. This frequency of psychiatric morbidity agrees with data from the cancer literature. According to many investigators, the early detection of a comorbid psychiatric disorder is crucial to relieve a patient's suffering.
Keywords Psychiatric morbidity
Cancer
Chemotherapy
Communication
Psychological distress
Language English
Date 2005-09-01
Published in Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 38, n. 9, p. 1423-1427, 2005.
ISSN 0100-879X (Sherpa/Romeo, impact factor)
Publisher Associação Brasileira de Divulgação Científica
Extent 1423-1427
Origin http://dx.doi.org/10.1590/S0100-879X2005000900018
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000231773600018
SciELO ID S0100-879X2005000900018 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/2659

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