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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Psychiatric morbidity among cancer patients and awareness of illness.
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Psychiatric morbidity among cancer patients and awareness of illness.

机译：癌症患者的精神病发病率和对疾病的认识。

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A significant proportion of cancer patients experience psychiatric morbidity. Potential predictors of psychiatric morbidity include patient disease-related factors and factors relating to the patient's environment. The aim of this study was to investigate the prevalence of psychiatric morbidity and the relationship between the clinical or personal factors, especially psychiatric morbidity, and awareness of cancer diagnosis among a group of Turkish cancer patients. A total of 117 cancer patients were assessed using the Structured Clinical Interview for DSM-IV (SCID), the Hospital and Anxiety Depression Scale (HADS) and the General Health Questionnaire (GHQ). Of these patients, 30% had a psychiatric diagnosis. Adjustment disorders comprised most of the psychiatric diagnoses. Awareness of the diagnosis of cancer, history of previous psychiatric disorders, pain and stress factors were correlated with psychiatric morbidity. Of the 117 patients, 64 (54.7%) were unaware of the diagnosis of cancer. Most of thepatients (67.9%) who were considered to be aware of the cancer diagnosis stated that they had guessed their illness from the treatment process or drug adverse effects. Psychiatric morbidity was significantly higher in the patients who knew that they had a cancer diagnosis (P=0.03). These findings suggest that the awareness of cancer diagnosis is related to the presence of psychiatric morbidity. In particular, the understanding of the diagnosis indirectly may be stressful to the patient because it arouses suspicion about the cancer and treatment, and consequently can lead to psychiatric disturbance. In Turkey honest disclosure of the true diagnosis is still not common for cancer patients and it seems to be essential to improve this situation.
机译：很大比例的癌症患者患有精神病。精神病发病率的潜在预测因素包括与患者疾病相关的因素以及与患者环境有关的因素。这项研究的目的是调查一组土耳其癌症患者中精神疾病的患病率以及临床或个人因素（尤其是精神疾病的发病率）与癌症诊断意识之间的关系。使用针对DSM-IV的结构化临床访谈（SCID），医院焦虑症量表（HADS）和一般健康问卷（GHQ）对总共117名癌症患者进行了评估。在这些患者中，有30％有精神病诊断。调节障碍包括大多数精神病学诊断。癌症的诊断意识，既往精神病史，疼痛和压力因素与精神病发病率相关。在117例患者中，有64例（54.7％）不了解癌症的诊断。被认为了解癌症诊断的大多数患者（67.9％）表示，他们从治疗过程或药物不良反应中猜出了自己的病情。知道自己有癌症诊断的患者中精神病的发病率显着更高（P = 0.03）。这些发现表明，对癌症诊断的意识与精神病发病率有关。特别是，对诊断的间接理解可能会给患者带来压力，因为它引起对癌症和治疗的怀疑，并因此可能导致精神病。在土耳其，诚实地披露真正的诊断对于癌症患者仍然不普遍，这似乎对改善这种情况至关重要。

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