Aim:To study the prevalence of Psychiatric disorders in cancer patients and to find out the factors associated with Psychiatric disorders in Cancer Patients.Settings and Design:Department of Radiotherapy, Medical College, Thiruvananthapuram, cross sectional survey design was used.Methods and Material:Adult patients (18 years of age and above), having a diagnosis of carcinoma were selected by consecutive sampling method.A questionnaire which included back ground data, socio economic variables, treatment variables like type of malignancy, exposure to radiation & chemotherapy prior to the evaluation and current treatment, co occurring medical illness & treatment and past & family history of psychiatric illness was used to collect data. Delirium rating scale and MINI International neuropsychiatric interview were used to assess Psychiatric disorders and delirium.Statistical Analysis Used:Chi square and logistics regression tests were used for analysis.Results:Of the 384 assessed, 160(41.7%) had psychiatric disorders. Adjustment disorders were seen in 22.6%. 10.9% of subjects had major depressive disorder. Thus a total of 33.5% of patients had a diagnosis of either anxiety or depressive disorder. Proportion of patients having delirium was 6.5%. Hypomania was seen in small (1.6%) of patients. Multivariate analysis for various parameters for psychiatric disorders showed that age, past history of chemotherapy, past history of radiotherapy, & surgical treatment of carcinomas are significant predictors of psychiatric disorders.Conclusions:Psychiatric disorders are seen in a significant proportion of Psychiatric patients.

IntroductionCancer is a leading cause of death worldwide and India is no exception to this. The controversies and necessity of assessing the prevalence of psychological morbidity with validated instruments in cancer patients, which can have important ramifications, in service delivery led to the present study.Aims and objectivesTo study the Prevalence and correlates of psychiatric morbidity in cancer patients and find the factors associated with psychiatric illness in cancer patients in a tertiary care centre.MethodsPatients admitted in Radiotherapy ward of Medical College Trivandrum who met inclusion and exclusion criteria were assessed using translated and validated MINI 6.0, delirium rating scale and Adjustment disorder questionnaire after obtaining informed consent.ResultsOf the 384 patients assessed the prevalence of Psychiatric disorders was 41.7% with adjustment disorders contributing to 22.6%, major depressive disorders 10.9%, delirium 6.5%, and hypomania 1.6% and age, past history of chemotherapy, past history of radiotherapy, & surgical treatment of carcinomas were significantly associated with psychiatric disorders.ConclusionsCancer is associated with Psychiatric disorders and affects patients. Psychological interventions can alleviate the distress of these persons and provisions of psychological support should be is an important component in the care of these patients.

Introduction: Schizophrenia is a condition characterized by delusions, hallucinations, disorganized behavior, disorganized thought, and negative symptoms. There is overwhelming evidence that antipsychotics can be effective in treating the symptoms of schizophrenia. Approximately 75% of individuals relapse without drugs compared to 25% with drug. Patients who receive long-acting depot have lower relapse rates than patients who receive oral medications. The factors affecting drug compliance include side effects, psychopathology, social support, and insight. Indian studies are comparatively few in this area; knowledge of these factors can help in formulating strategies for enhancing drug compliance and outcome. Methods: This study was conducted at the Department of Psychiatry T D Medical College, Alleppey, a tertiary care teaching hospital. Patients who attended the Outpatient department were assessed with following instruments, Positive and negative symptom scale, Udvalg Klinske Undersogelser Side Effect Rating Scale, Multidimensional scale of perceived social support, Scale to assess Unawareness of Mental Disorder (SUMD), Compliance was assessed by using the criteria of fully compliant defined as those miss less than 20% of medication, partially compliant those who misses 20% to 80% of medication and noncompliant those who miss more than 80% of medicines. Data was analysed using Chi square test and regression analysis. Result: Sex, Education status, marital status, Occupation, and drugs administered had significant relationships with Compliance. Conclusion:, it is advisable to use minimum number of drugs for ensuring compliance.