[Predictors of mental disorders in patients with malignant diseases: empirical results].
Between 2002 and 2004 485 cancer patients in oncological treatment were assessed for mental disorders using the Structured Clinical Interview for DSM-IV (SCID). Socio-demographic, psychosocial and medical data were taken as possible predictors into multivariate analysis. 32 % of the patients suffered from mental diseases. Significant risk factors for anxiety disorders were female sex, precedent mental trauma, children below 18 years; for affective disorders female sex, poor physical functioning; for stress disorders children below 18 years; for addictive disorders male sex, younger age, children from 18 years on, distant metastases. Additional psychosocial risk factors seem to be predominantly responsible for the development of a mental co-morbidity in inpatients with malignant diseases, which should be examined in doctor-patient-talks.
Krauss
Oliver
O
Universität Leipzig, Selbstständige Abteilung Sozialmedizin, Leipzig, Germany. beate.liebing@medizin.uni-leipzig.de
Ernst
Jochen
J
Kuchenbecker
Doris
D
Hinz
Andreas
A
Schwarz
Reinhold
R
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000209:etiology*; D008875:Middle Aged; D015999:Multivariate Analysis; D009369:Neoplasms / Q000150:complications*; D011379:Prognosis; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors