Psychiatric morbidity among cancer patients and its relationship with awareness of illness and expectations about treatment outcome

P. John Alexander, Narayanakurup Dinesh, M. S. Vidyasagar

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

Sixty consecutive patients admitted to an oncology unit in a general hospital were systematically assessed to determine the prevalence of psychiatric disorders. Patients' awareness of the diagnosis of cancer and their perception of treatment intention and outcome were assessed independently by another investigator who was blind to the psychiatric diagnosis. Forty percent of the sample had a diagnosis of psychiatric disorder, based on the Diagnostic and Statistical Manual for Mental Disorders (3rd edition, revised). Adjustment disorders comprised most of the psychiatric diagnoses. Major depression was seen in 8 (13% patients. One third of the patients were estimated to be unaware of the diagnosis of cancer, and 82% of patients perceived the treatment given as curative. Psychiatric morbity was significantly less common in patients who did not know they had cancer, and in those who considered treatment as curative. the prevalence of depressive disorders in our sample was higher than in medical inpatients. It is concluded that psychiatric disorders, especially affective disorders, are common among cancer patients. Awareness of nature of the illness and expected outcome can affect the prevalence of psychiatric morbidity. Further studies investigating the relationship between psychiatric morbidity and duration of illness, type and stage of cancer, disabilities and coping strategies are warrented.

Original languageEnglish
Pages (from-to)623-626
Number of pages4
JournalActa Oncologica
Volume32
Issue number6
DOIs
Publication statusPublished - 01-01-1993

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Psychiatry
Morbidity
Neoplasms
Mental Disorders
Adjustment Disorders
Depressive Disorder
Mood Disorders
General Hospitals
Diagnostic and Statistical Manual of Mental Disorders
Inpatients
Research Personnel
Depression
Therapeutics

All Science Journal Classification (ASJC) codes

  • Hematology
  • Oncology
  • Radiology Nuclear Medicine and imaging

Cite this

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Psychiatric morbidity among cancer patients and its relationship with awareness of illness and expectations about treatment outcome. / Alexander, P. John; Dinesh, Narayanakurup; Vidyasagar, M. S.

In: Acta Oncologica, Vol. 32, No. 6, 01.01.1993, p. 623-626.

Research output: Contribution to journalArticle

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