[Patients after prostatectomy. Psychiatric comorbidity, need for psychooncological treatment and quality of life].
BACKGROUND
Prostate carcinoma patients (PCP) with mental disorders suffer frequently from a decreased quality of life (QOL) and often need psychooncological treatment (PTN). To meet that need, the extent of treatment required should be determined and a reliable identification routine implemented.


METHODS
A total of 103 PCP were interviewed with a validated instrument (SCID) during urological inpatient treatment to assess mental disorders of PTN, and questionnaires were administered to examine QOL (QLQ-C30) and mental stress (HADS); 17 doctors and 23 nurses assessed their patients' PTN.


RESULTS
Twenty percent of the patients had a PTN which was identified by doctors and nurses in 50% of the cases and by HADS in up to 84%. Even 1 year after treatment, the QOL of patients with PTN was diminished, while patients without recovered remarkably better.


CONCLUSIONS
Patients with PTN should be detected as a matter of routine, e.g., using the HADS, and treated early.
Krauss
O
O
Selbständige Abteilung Sozialmedizin, Universität Leipzig. oliver.krauss@medizin.medizin.uni-leipzig.de
Ernst
J
J
Kauschke
M
M
Stolzenburg
J U
JU
Weissflog
G
G
Schwarz
R
R
D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D003131:Combined Modality Therapy; D015897:Comorbidity; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D008875:Middle Aged; D020380:Needs Assessment; D009730:Nursing Assessment; D010552:Personality Assessment; D011446:Prospective Studies; D011468:Prostatectomy / Q000523:psychology*; D011471:Prostatic Neoplasms / Q000453:epidemiology / Q000523:psychology* / Q000601:surgery; D011613:Psychotherapy; D011788:Quality of Life / Q000523:psychology*; D012017:Referral and Consultation; D018434:Sickness Impact Profile; D013315:Stress, Psychological / Q000150:complications