Mental disorders in cancer patients. A study of 100 psychiatric referrals

Records of 100 consecutive hospitalized cancer patients referred for psychiatric consultation were reviewed. These patients constituted only 5% of those seen by the Psychiatry Consultation Service during the study period. Fifty‐six percent of the referred patients were diagnosed as depressed and 40%...

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Veröffentlicht in:Cancer 1978-09, Vol.42 (3), p.1385-1391
Hauptverfasser: Levine, Peter M., Silberfarb, Peter M., Lipowski, Z. J.
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container_title Cancer
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creator Levine, Peter M.
Silberfarb, Peter M.
Lipowski, Z. J.
description Records of 100 consecutive hospitalized cancer patients referred for psychiatric consultation were reviewed. These patients constituted only 5% of those seen by the Psychiatry Consultation Service during the study period. Fifty‐six percent of the referred patients were diagnosed as depressed and 40% as having organic brain disease. Twenty‐six of the 100 patients were misdiagnosed by the referring physician as depressed but were classified by the staff psychiatrist as suffering from organic brain syndrome. When referral was studied by primary site of cancer, only patients with breast cancer were referred at a significantly higher than expected rate (p < .001). The importance of the mental status examination as a routine procedure in all cancer patients is stressed so that an organic brain syndrome will not be missed. Suggestions for patient management are given.
doi_str_mv 10.1002/1097-0142(197809)42:3<1385::AID-CNCR2820420349>3.0.CO;2-0
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subjects Adult
Aged
Breast Neoplasms - complications
Breast Neoplasms - psychology
Depression - complications
Female
Humans
Male
Mental Disorders - complications
Mental Disorders - diagnosis
Mental Disorders - therapy
Middle Aged
Neoplasms - complications
Neoplasms - psychology
Neurocognitive Disorders - complications
title Mental disorders in cancer patients. A study of 100 psychiatric referrals
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