title: [Psychiatric comorbidities in visceral surgery patients with cancer].
abstract: BACKGROUND
  Cancer patients with mental disorders suffer from a decreased quality of life (QoL) and are in need of appropriate treatment.
  
  
  METHODS
  A total of 99 cancer patients were interviewed during surgical inpatient treatment with a structured clinical interview for diagnosis of mental disorders (SCID). The QoL and distress were examined prospectively using the validated questionnaires EORTC QLQ-C30 and HADS. Patient psychological well-being and the need for psycho-oncological treatment were assessed by 31 doctors and 41 nurses.
  
  
  RESULTS
  Of the patients 19% were diagnosed with having a mental disorder and in 10% immediate treatment was deemed necessary. This was identified by doctors and nurses in 38-60% and by HADS in 78% of the cases. The QoL of patients with psychiatric comorbidities was diminished 6 months after surgery, while patients without comorbidities recovered significantly better.
  
  
  CONCLUSIONS
  Of the visceral surgery cancer patients studied 10% had a relevant mental disorder. To prevent symptoms becoming chronic they should be detected and treated early and efficiently.
authors.affiliation: Darmzentrum und Klinik für Psychiatrie, Psychosomatik und Psychotherapie, Park-Krankenhaus, Morawitzstrasse 2, Leipzig, Germany. oliver.krauss@parkkrankenhaus-leipzig.de
authors.forename: O
authors.initials: O
authors.lastname: Krauss
authors.forename: J
authors.initials: J
authors.lastname: Hauss
authors.forename: S
authors.initials: S
authors.lastname: Jonas
authors.forename: S
authors.initials: S
authors.lastname: Leinung
authors.forename: U
authors.initials: U
authors.lastname: Halm
authors.forename: C
authors.initials: C
authors.lastname: Albani
authors.forename: S
authors.initials: S
authors.lastname: Singer
mesh_terms: D000368:Aged; D015897:Comorbidity; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D004067:Digestive System Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000523:psychology* / Q000601:surgery*; D004637:Emergency Services, Psychiatric; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006785:Hospitals, University; D006801:Humans; D033183:Interdisciplinary Communication; D007406:Interview, Psychological; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D009367:Neoplasm Staging; D010348:Patient Care Team; D011788:Quality of Life / Q000523:psychology; D012189:Retrospective Studies; D011795:Surveys and Questionnaires