title: Psychological distress experienced by families of cancer patients: preliminary findings from psychiatric consultation of a Cancer Center Hospital.
abstract: OBJECTIVE
  The purpose of the present study was to obtain preliminary findings regarding psychiatric disorders and background characteristics among Japanese family members of cancer patients.
  
  
  METHODS
  We investigated the psychiatric diagnosis and background factors of family members of cancer patients by analyzing the consultation data of patients referred to the Psychiatry Division, National Cancer Centre Hospital East, Japan.
  
  
  RESULTS
  Of a total of 1469 psychiatric consultation, 47 (3.2%) family members were referred, and 85% of them were spouses. The most common patient cancer site was the lung. Approximately one-half of the referred family encountered patients' end-of-life issues. The most common psychiatric diagnoses were adjustment disorders, followed by major depression.
  
  
  CONCLUSIONS
  These preliminary findings suggest that psychosocial support for family members is not fully delivered and development of a comprehensive support system for caregivers of cancer patients is an urgent issue in the clinical oncology setting in Japan.
authors.affiliation: Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Japan.
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Akechi
authors.forename: Nobuya
authors.initials: N
authors.lastname: Akizuki
authors.forename: Masako
authors.initials: M
authors.lastname: Okamura
authors.forename: Ken
authors.initials: K
authors.lastname: Shimizu
authors.forename: Akira
authors.initials: A
authors.lastname: Oba
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Ito
authors.forename: Eisho
authors.initials: E
authors.lastname: Yoshikawa
authors.forename: Tomohito
authors.initials: T
authors.lastname: Nakano
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Inagaki
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Uchitomi
mesh_terms: D002173:Cancer Care Facilities; D017028:Caregivers / Q000523:psychology; D005190:Family / Q000523:psychology*; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis; D009369:Neoplasms; D016522:Oncology Service, Hospital; D011567:Psychiatric Department, Hospital; D011570:Psychiatry; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012944:Social Support