title: Comorbid mental disorders in laryngectomees.
abstract: OBJECTIVE
  This study attempted to determine the prevalence of mental disorders among laryngectomees and to assess the current status of the supplied psychooncological care.
  
  
  METHODS
  Patients who were laryngectomized between 1970 and 2001 were recruited at 6 different otolaryngology clinics in the region of Central Germany. 189 interviews were conducted. Structured clinical interviews (SCID) and standardized questionnaires (HADS, KFA) were used to assess patients' mental health. The past and the current status of received psychotherapeutic care was evaluated.
  
  
  RESULTS
  23% of the patients were diagnosed with mental disorders. The most frequently occurring disorder was alcohol dependency with 8%, followed by affective disorders (7% major depression, 5% minor depression). Only one patient was currently receiving psychotherapeutic or psychiatric treatment.
  
  
  CONCLUSIONS
  Only a small fraction of the laryngectomy patients suffering from mental illness were receiving appropriate treatment.
authors.affiliation: Abteilung Sozialmedizin, Universität Leipzig, Germany. sins@medizin.uni-leipzig.de
authors.forename: Susanne
authors.initials: S
authors.lastname: Singer
authors.forename: Esther
authors.initials: E
authors.lastname: Herrmann
authors.forename: Cornelia
authors.initials: C
authors.lastname: Welzel
authors.forename: Eckart
authors.initials: E
authors.lastname: Klemm
authors.forename: Manfred
authors.initials: M
authors.lastname: Heim
authors.forename: Reinhold
authors.initials: R
authors.lastname: Schwarz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015984:Causality; D015897:Comorbidity; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007822:Laryngeal Neoplasms / Q000453:epidemiology* / Q000601:surgery*; D007825:Laryngectomy / Q000706:statistics & numerical data*; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D015995:Prevalence; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D016896:Treatment Outcome