title: Prevalence of psychiatric disorder in asymptomatic or minimally symptomatic cancer patients on treatment.
abstract: BACKGROUND
  Cancer not only affects organ systems physically but can also affect the mind as a psychiatric disorder. Appropriate treatment can be clinically efficacious and cost-effective. With this background, a study was conducted in a regional cancer center to assess the prevalence of psychiatric disorder amongst cancer patients and correlate it with socio-demographic parameters.
  
  
  METHODS
  Asymptomatic or minimally symptomatic cancer patients on active anticancer treatment, fulfilling inclusion criteria, were served psychiatric assessment questionnaire. The demographic and the medical data were obtained from subjects and their medical records. Correlation of prevalence of psychiatric disorder with socio-demographic parameters was done using the Chi-square test.
  
  
  RESULTS
  Thirty-eight patients returned the questionnaire duly filled. Of them, 24 (63%) had some psychiatric disorder. All these 24 patients were suffering from depression--15 (63%) from major depression and 9 (37%) from minor depression. Only 6 (25%) patients had anxiety disorder. The prevalence of psychiatric disorder in patients aware of the diagnosis and prognosis was 58 and 55% respectively. This was significantly higher as compared to the patients who were not aware of their diagnosis and prognosis (P-value 0.019 and 0.05 respectively).
  
  
  CONCLUSIONS
  High prevalence of psychiatric disorder, especially depression, amongst the cancer patients--particularly in those who were aware of the diagnosis and prognosis. A majority of these disorders are eminently treatable. Routine psychiatric evaluation of all cancer patients is a matter of debate that needs to be addressed in larger prospective surveys.
authors.affiliation: Department of Radiotherapy, A.H.R.C.C, Cuttack, Orissa, India. sanjib_debu2000@yahoo.com
authors.forename: Sanjib Kumar
authors.initials: SK
authors.lastname: Mishra
authors.forename: Prashant Kumar
authors.initials: PK
authors.lastname: Mohapatra
authors.forename: Kausik
authors.initials: K
authors.lastname: Bhattacharya
authors.forename: Tejpal
authors.initials: T
authors.lastname: Gupta
authors.forename: Jai Prakash
authors.initials: JP
authors.lastname: Agarwal
mesh_terms: D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology* / Q000209:etiology; D009369:Neoplasms / Q000150:complications / Q000523:psychology* / Q000628:therapy; D015995:Prevalence; D011795:Surveys and Questionnaires