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입원 암 환자의 정신과적 특징 : 5년간 정신과 자문의뢰 된 암 환자의 후향적 연구

Psychiatric Characteristics of Hospitalized Referred Cancer Patients : A Retrospective Study for 5 Years

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대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2012.10|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제18권 제2호|pp. 246-255

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참고문헌

키워드

디스트레스암Cancer섬망Delirium자문조정정신의학정신종양학DistressConsultation-Liaison PsychiatryPsycho-oncology
주제분류정신과학

초록

Objectives：The aim of this study was to assess the psychiatric characteristics of hospitalized-cancer patients referred for psychiatric evaluation. Methods：A retrospective review was performed for hospitalized-cancer patients who were referred to the psychiatry department of one university hospital in Busan. The author examined the reasons for consultation, psychiatric diagnoses and factors associated with the most common diagnosis as well as demographic and cancer-related clinical data. Results：Data were collected from 375 hospitalized cancer patients. Cancer type were stomach in 77(20.5%) and lung and bronchus in 62(16.5%) patients. Active local or metastatic cancer was noted in 342(91.2%) participants. Cancer treatments were chemotherapy in 95(25.3%), no treatment in 84(22.4%), surgery in 63(16.8%) subjects. The most common psychiatric problems was abnormal behavior(27.2%) followed by depression(15.2%), insomnia(12.7%) and so on. The most common psychiatric diagnosis was delirium(34.4%) followed by depressive disorder(13.3%) and adjustment disorder(10.9%). Multivariate analysis indicated that male(OR=2.62 ; 95% CI 1.53-4.50), no psychiatric past history(OR=3.62 ; 95% CI 1.68-7.78), active metastatic state(OR=4.81 ; 95% CI 1.30-17.73) and age above 65 years old(OR=5.53 ; 95% CI 3.30-9.27) were significantly associated with delirium in cancer patients. Conclusion：Abnormal behavior and delirium are the most common problem and psychiatric diagnosis encountered in cancer patients referred for psychiatric evaluation. These results are partially attributed to low sensitivity of oncologists and cancer patients to ‘distress’.

Abstract

Objectives：The aim of this study was to assess the psychiatric characteristics of hospitalized-cancer patients referred for psychiatric evaluation. Methods：A retrospective review was performed for hospitalized-cancer patients who were referred to the psychiatry department of one university hospital in Busan. The author examined the reasons for consultation, psychiatric diagnoses and factors associated with the most common diagnosis as well as demographic and cancer-related clinical data. Results：Data were collected from 375 hospitalized cancer patients. Cancer type were stomach in 77(20.5%) and lung and bronchus in 62(16.5%) patients. Active local or metastatic cancer was noted in 342(91.2%) participants. Cancer treatments were chemotherapy in 95(25.3%), no treatment in 84(22.4%), surgery in 63(16.8%) subjects. The most common psychiatric problems was abnormal behavior(27.2%) followed by depression(15.2%), insomnia(12.7%) and so on. The most common psychiatric diagnosis was delirium(34.4%) followed by depressive disorder(13.3%) and adjustment disorder(10.9%). Multivariate analysis indicated that male(OR=2.62 ; 95% CI 1.53-4.50), no psychiatric past history(OR=3.62 ; 95% CI 1.68-7.78), active metastatic state(OR=4.81 ; 95% CI 1.30-17.73) and age above 65 years old(OR=5.53 ; 95% CI 3.30-9.27) were significantly associated with delirium in cancer patients. Conclusion：Abnormal behavior and delirium are the most common problem and psychiatric diagnosis encountered in cancer patients referred for psychiatric evaluation. These results are partially attributed to low sensitivity of oncologists and cancer patients to ‘distress’.

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