Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients

被引：102

作者：

Kuhnt, Susanne ^{[1
]}

Braehler, Elmar ^{[1
,2
]}

Faller, Hermann ^{[3
,4
]}

Haerter, Martin ^{[5
]}

Keller, Monika ^{[6
]}

Schulz, Holger ^{[5
]}

Wegscheider, Karl ^{[7
]}

Weis, Joachim ^{[8
]}

Boehncke, Anna ^{[8
]}

Hund, Bianca ^{[9
,10
]}

Reuter, Katrin ^{[10
]}

Richard, Matthias ^{[3
,4
]}

Sehner, Susanne ^{[7
]}

Wittchen, Hans-Ulrich ^{[11
,12
]}

Koch, Uwe ^{[5
]}

Mehnert, Anja ^{[1
,5
]}

机构：

[1] Univ Med Ctr Leipzig, Sect Psychosocial Oncol, Dept Med Psychol & Med Sociol, Philipp Rosenthal Str 55, DE-04103 Leipzig, Germany

[2] Univ Med Ctr Mainz, Dept Psychosomat Med & Psychotherapy, Mainz, Germany

[3] Univ Wurzburg, Med Sociol & Rehabil Sci, Dept Med Psychol & Psychotherapy, Wurzburg, Germany

[4] Univ Wurzburg, Comprehens Canc Ctr Mainfranken, Wurzburg, Germany

[5] Univ Med Ctr Hamburg Eppendorf, Dept & Outpatient Clin Med Psychol, Hamburg, Germany

[6] Univ Heidelberg Hosp, Dept Psychosomat & Gen Clin Med, Div Psychooncol, Heidelberg, Germany

[7] Univ Med Ctr Hamburg Eppendorf, Dept Med Biometry & Epidemiol, Hamburg, Germany

[8] Univ Med Ctr Freiburg, Tumor Biol Ctr, Dept Psychooncol, Freiburg, Germany

[9] Rhein Jura Klin, Bad Sackingen, Germany

[10] Univ Med Ctr Freiburg, Dept Psychiat & Psychotherapy, Freiburg, Germany

[11] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, Dresden, Germany

[12] Tech Univ Dresden, Ctr Clin Epidemiol & Longitudinal Studies CELOS, Dresden, Germany

来源：

PSYCHOTHERAPY AND PSYCHOSOMATICS | 2016年 / 85卷 / 05期

关键词：

Mental disorders; Cancer patients; Psycho-oncological interventions; INTERNATIONAL DIAGNOSTIC INTERVIEW; QUALITY-OF-LIFE; ADJUSTMENT DISORDER; GENERAL-POPULATION; HEALTH CONDITIONS; BREAST-CANCER; DEPRESSION; DISTRESS; ANXIETY; RECOGNITION;

D O I：

10.1159/000446991

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Psychological problems are common in cancer patients. For the purpose of planning psycho-oncological interventions and services tailored to the specific needs of different cancer patient populations, it is necessary to know to what extent psychological problems meet the criteria of mental disorders. The purpose of this study was to estimate the 12-month and lifetime prevalence rates of mental disorders in cancer patients. Methods: A representative sample of patients with different tumour entities and tumour stages (n = 2,141) in outpatient, inpatient and rehabilitation settings underwent the standardized computer-assisted Composite International Diagnostic Interview for mental disorders adapted for cancer patients (CIDI-O). Results: The overall 12-month prevalence for any mental disorder was 39.4% (95% CI: 37.3-41.5), that for anxiety disorders was 15.8% (95% CI: 14.4-17.4), 12.5% (95% CI: 11.3-14.0) for mood disorders, 9.5% (95% CI: 8.3-10.9) for somatoform disorders, 7.3% (95% CI: 6.2-8.5) for nicotine dependence, 3.7% (95% CI: 3.0-4.6) for disorders due to general medical condition, and 1.1% (95% CI: 0.7-1.6) for alcohol abuse or dependence. Lifetime prevalence for any mental disorder was 56.3% (95% CI 54.1-58.6), that for anxiety disorders was 24.1% (95% CI: 22.3-25.9), 20.5% (95% CI: 18.9-22.3) for mood disorders, 19.9% (95% CI: 18.3-21.7) for somatoform disorders, 18.2% (95% CI: 16.6-20.0) for nicotine dependence, 6.4% (95% CI: 5.4-7.6) for alcohol abuse or dependence, 4.6% (95% CI: 3.85.6) for disorders due to general medical condition, and 0.2% (95% CI: 0.1-0.6) for eating disorders. Conclusions: Mental disorders are highly prevalent in cancer patients, indicating the need for provision of continuous psycho-oncological support from inpatient to outpatient care, leading to an appropriate allocation of direct personnel and other resources. (C) 2016 S. Karger AG, Basel

引用

页码：289 / 296

页数：8

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