Evaluation of psychiatric consultations requested for cancer patients hospitalized in a university hospital

Aim: Cancer is one the most important health problems of today. It is not just a medical and physical disease but a severe chronic condition with dispositional and social components. In our study, we aimed to analyze the diagnoses and treatments of oncologic inpatients whom were requested psychiatric consultations. Materials and Methods: 139 consulted patients of 828 inpatients who were hospitalized in Oncology and Radiation Department of Inonu University Faculty of Medicine, between January 1st, 2019 and February 27th, 2019 were included in the study. Sociodemographic data and examination findings of patients were obtained from electronic file records retrospectively. Results: The most common was gastric (14.9%); the second was breast (12.2%) and third was lung cancer. Depression was the most common psychiatric disease among these patients with 39.3% of women and 24% of men. The most preferred medications were escitalopram (35.4%) and quetiapine (20.8%). Conclusion: Physicians and other healthcare professionals responsible for the treatment of cancer patients should carefully evaluate these patients psychologically who may have the chance of getting psychiatric treatment only while hospitalized.

PDF

___

1. h t t p s : / / w w w. w h o . i n t / h e a l t h - t o p i c s / cancer#tab=tab_1
2. Kuzu A, Bayrakli B, Ergol S. Depression in in-patient and out patient treatment cancer patients and influencing factors. Depression 2016;13.
3. O'Connor AP, Wicker CA, Germino BB. Understanding the cancer patient's search for meaning. Cancer Nurs 1990;13:167-75.
4. Bahar A. Kanser hastalarına psikososyal yaklaşım. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2007;10:105-11.
5. Ateşçi FÇ, Oğuzhanoğlu NK, Baltalarlı B ve ark. Kanser hastalarında psikiyatrik bozukluklar ve ilişkili etmenler. Türk Psikiyatri Dergisi 2003;14:145-52.
6. Anuk D, Ozkan M, Kizir et al. The characteristics and risk factors for common psychiatric disorders in patients with cancer seeking help for mental health. BMC Psychiatry 2019;19:269.
7. Fawzy I. Fawzy, Mark E. Servis, Donna B. Greenberg. Oncology And Psychooncology. Michael G. Wise, James R. Rundell eds. Textbook Of Consultataion- Liasion Psychiatry. 2 st edition. Washington: American Psychiatric Publishing, Inc; 2005. s.657-78. Chapter 29.
8. Tavoli A, Mohagheghi MA, Moztazeri A, et al., Anxiety and depression in patients with gastrointestinal cancer: does knowledge of cancer diagnosis matter? BMC Gastroenterology 2007;7:28.
9. Goulia P, Mantas C, Hyphantis T. Delirium, a 'confusing'- condition in general hospitals: The experience of a Consultation-Liaison Psychiatry Unit in Greece. Int J Gen Med 2009;29:201-7.
10. Barrera I, Spiegel D. Review of psychotherapeutic interventions on depression in cancer patients and their impact on disease progression. Int Rev Psychiatry 2014;26:31-43.
11. Sotelo JL, Musselman D, Nemeroff C. The biology of depression in cancer and the relation ship between depression and cancer progression. Int Rev Psychiatry 2014;26:16-30.
12. Lederberg MS. Psychooncology. In Sadock BJ, Sadock VA, (ed)s. Kaplan &Sadock's Comprehensive Textbook of Psychiatry. 8th ed. Philadelphia: Lippincott Williams &Wilkins 2005:2196-25.
13. Güleç G, Büyükkinaci A. Kanser ve Psikiyatrik Bozukluklar. Psikiyatride Guncel Yaklasimlar 2011;3:343.
14. Karakas SA, Okanli A. The relation ship between meaning of illness, anxiety depression, and quality of life for cancer patients. Collegium antropologicum 2014;38:939-44.
15. Holland JC. IPOS Sutherland Memorial Lecture: an international perspective on the development of psychosocial oncology: overcoming cultural and attitudinal barriers to improve psychosocial care. Psychooncology 2004;13:445-59.
16. Kadan-Lottick NS, Vanderwerker LC, Bkock SD, et al. Psychiatric disorders and mental health service use in patients with advanced cancer. Cancer 2005; 104:2872-81.
17. Kaçmaz N. Konsültasyon liyezon psikiyatrisi ve konsültasyon liyezon psikiyatrisi hemşireliği: Tarihsel bakış. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2006;9:1.
18. Kahyacı Kılıç E, Köse Ç, Sönmez R et al. Bir üniversite hastanesinde yatan hastalardan istenen psikiyatrik konsültasyonların değerlendirilmesi. Klinik psikiyatri 2016;19:194-201.
19. Mayda H, Güzel Hİ, Görücü Y ve ark. Bir üniversite hastanesinde istenilen psikiyatri konsültasyonlarının değerlendirilmesi. J Clin Anal Med 2015;6:177-80.
20. Tokgöz G, Yaluğ İ, Özdemir S ve ark. Kanser hastalarında majör depresyon yaygınlığı ve ilişkili etkenler. Anadolu Psikiyatri Dergisi 2008;9:59-66.
21. Nikendei C, Terhoeven V, Ehrenthal JC, et al. Depression profile in cancer patients and patients without a chronic somatic disease. Psychooncology. 2018;27:83-90.
22. Kutlu R, Çivi S, Börüban MC, Demir A. Kanserli Hastalarda Depresyon ve Yaşam Kalitesini Etkileyen Faktörler. Selçuk Üniv Tıp Dergisi 2011;27:149-53.
23. Hotopf M, Chidgey J, Addington-Hall J et al. Depression in advanced disease: a systematic review Part 1. Prevalence and case finding. PalliatMed 2002;16:81- 97.
24. Irwin MR. Depressionandinsomnia in cancer: prevalence, risk factors, andeffects on canceroutcomes. Current Psychiatry Reports 2013;15:404.
25. Linden W, Vodermaier A, Mackenzie R, et al. Anxietyanddepressionaftercancerdiagnosis: prevalenceratesbycancertype, gender, and age. J Affect Disord2012;141:343-51.
26. Köroğlu A, Çelik FH, Aslan M, et al. Bir eğitim hastanesinde psikiyatri konsültasyon hizmetlerinin değerlendirilmesi. Klinik Psikiyatri2011;14:44-50.
27. Kumlu İ, Kurt S, Ayidağa T et al. Bir üniversite hastanesinde yatarak tedavi alan hastalardan istenen psikiyatri konsültasyonlarının değerlendirilmesi. Kriz Dergisi, 2018;26.
28. Kahyacı Kılıç E, Köse Çınar R, Sönmez MB et al. Bir üniversite hastanesinde yatan hastalardan istenen psikiyatrik konsültasyonların değerlendirilmesi. Klinik Psikiyatri 2016;19:194-201