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 |
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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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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.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/1097-0142(197809)42:3<1385::AID-CNCR2820420349>3.0.CO;2-0</identifier><identifier>PMID: 698920</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>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</subject><ispartof>Cancer, 1978-09, Vol.42 (3), p.1385-1391</ispartof><rights>Copyright © 1978 American Cancer Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/698920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Levine, Peter M.</creatorcontrib><creatorcontrib>Silberfarb, Peter M.</creatorcontrib><creatorcontrib>Lipowski, Z. J.</creatorcontrib><title>Mental disorders in cancer patients. A study of 100 psychiatric referrals</title><title>Cancer</title><addtitle>Cancer</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Breast Neoplasms - complications</subject><subject>Breast Neoplasms - psychology</subject><subject>Depression - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - therapy</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - psychology</subject><subject>Neurocognitive Disorders - complications</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkVtLAzEQhYN4q5d_4EOeRB-2TiabJqkilPVWUAui4FvI7mZxZduuyRbpvzdLRfDpTPjOJJk5hEwYDBkAXjDQMgGW4hnTUoE-T3HMrxhXYjyeTG-S7Dl7QYWQIvBUX_MhDLPZJSawRQZ_vdtkAAAqESl_3ycHIXzGo0TB98juSCuNMCDTJ7fobEPLOix96Xyg9YIWdlE4T1vb1ZGGIZ3Q0K3KNV1WNH6PtmFdfNS283VBvauc97YJR2SniuKOf_WQvN3dvmYPyePsfppNHpMW45sJpjJHrkYV5qhknEjqqlIpy0XhRpJzzkrJrOKoLACXpRVFzkCIAuVIM53zQ3K6ubf1y6-VC52Z16FwTWMXbrkKRqZMRKOIxpNf4yqfu9K0vp5bvzab0SMuN_i7btz6jzIwfQKm36Lpt2g2CZhYcdMnYGIA5n8AkYDJZgZ7-Uf4D_77fT8</recordid><startdate>197809</startdate><enddate>197809</enddate><creator>Levine, Peter M.</creator><creator>Silberfarb, Peter M.</creator><creator>Lipowski, Z. 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J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Levine, Peter M.</au><au>Silberfarb, Peter M.</au><au>Lipowski, Z. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental disorders in cancer patients. A study of 100 psychiatric referrals</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>1978-09</date><risdate>1978</risdate><volume>42</volume><issue>3</issue><spage>1385</spage><epage>1391</epage><pages>1385-1391</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><abstract>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.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>698920</pmid><doi>10.1002/1097-0142(197809)42:3<1385::AID-CNCR2820420349>3.0.CO;2-0</doi><tpages>7</tpages></addata></record> |
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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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