Prevalence of psychiatric morbidity among cancer patients – hospital-based, cross-sectional survey

Abstract

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.

In vitro evaluation of anticancer activity of sodium hyaluronate-titanium dioxide bionanocomposite

“…Globally, now, about one out of six deaths are due to cancer. The cancer deaths worldwide are projected to reach over 11 million people by 2030 [8,9].…”

Assessment of Psychiatric Infirmities in Cancer Patients by Using Dass21 in a Tertiary Care Hospital

“…In order to cure the condition systematically, it is necessary to acquire perception into the prevalence, severity, direction of the psychological abnormality and the factors affecting them. (2) Cancer sufferers must face assorted strain and elements which cause their psychosomatic anguish, principally apprehension and melancholy. (4) These may affect the outwear of the patients significance in standard of living, making appropriate treatment decisions; acquiesce with treatment and patients comfort.…”

“…Cancer induces psychological trait that becomes a mark for grief and pain that is the reason why psychosocial oncology research studies indicated that a noteworthy percentage of cancer patients at all stages of the sickness has been oppress with psychological suffering. (2) However the psychological distress has the chances of interrupting the patient's quality of life and also influencing their option of treatments for cancer. (4) Internationally regimen of screening for distress is proposed as the compulsory standard for the good cancer care.…”

“…(3) The exact evaluation of the prevalence of adjustment disorders and various psychiatric illnesses is highly dominant in designing the management programmes. (2) With the above said pondering, the primary objective of the present study was to approximate the depression, anxiety and stress levels in surviving cancer patients. The secondary objective was to correlate the primary objective with different age group, gender and cancer types.…”

Letter to the Editor

“…It is interesting to remember within the health field that patients experience a significant number of emotional reactions, which may include anxiety caused by fear of pain or uncertainty about the future, depression, problems of adaptation, etc [2]. This paper and other studies have evaluated the anxiety, depression, distress, and quality of life of patients in general and especially in patients who undergo diagnostic procedures or medical interventions [3].…”