par Razavi, Darius ;Stiefel, Friedrich
Editeur scientifique Klastersky, Jean ;Schimpff, Stephen C.;Senn, Hans-Jörg
Référence Supportive Care in Cancer, A Handbook for Oncologists, CRC Press, Boca Raton, Ed. 2, page (345-370)
Publication Publié, 1999
Partie d'ouvrage collectif
Résumé : An important prevalence of psychiatric disturbances in cancer patients has been reported in many studies. In 1983, the Psychosocial Collaborative Oncology Group observed a prevalence rate of 47% for Diagnosic and Statistical Manual of Mental Disorders-III-defined psychiatric disorders in a cohort of cancer patients (inpatient and outpatient populations of three cancer centers). Most importantly, this rate was approximately twice that reported for psychiatric disorders in medical patients, and three times the modal estimate appearing in the literature for the general population. As a diagnostic category, adjustment disorders (ADs) accounted for 68% of all diagnoses. Other diagnoses were major affective disorders (13%), organic mental disorders (8%), personality disorders (7%), and anxiety disorders (4%). Nearly 85% of patients with a positive psychiatric condition indicated that depression or anxiety was the principal symptom.