Clinical and demographic profile of cancer patients in a consultation-liaison psychiatric service

Cítero, Vanessa de Albuquerque; Nogueira-Martins, Luiz Antônio; Lourenço, Maria Helena; Andreoli, Sérgio Baxter

doi:10.1590/s1516-31802003000300005

Cited by 17 publications

(11 citation statements)

References 11 publications

(11 reference statements)

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“…Marcus and team looked at data from 327 American hospitals and found that age was inversely correlated with psychiatric referral rates [59]. Other studies have supported the inverse correlation of age to referrals [37, 60, 61]. The same study from Marcus et al did not find gender of patients to be useful as predictors to psychiatric referrals [59].…”

Section: Resultsmentioning

confidence: 99%

Why are hospital doctors not referring to Consultation-Liaison Psychiatry? – a systemic review

2016

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BackgroundConsultation-Liaison Psychiatry (CLP) is a subspecialty of psychiatry that provides care to inpatients under non-psychiatric care. Despite evidence of benefits of CLP for inpatients with psychiatric comorbidities, referral rates from hospital doctors remain low. This review aims to understand barriers to CLP inpatient referral as described in the literature.MethodsWe searched on Medline, PsychINFO, CINAHL and SCOPUS, using MESH and the following keywords: 1) Consultation-Liaison Psychiatry, Consultation Liaison Psychiatry, Consultation Psychiatry, Liaison Psychiatry, Hospital Psychiatry, Psychosomatic Medicine, the 2) Referral, Consultation, Consultancy and 3) Inpatient, Hospitalized patient, Hospitalized patient. We considered papers published between 1 Jan 1965 and 30 Sep 2015 and all articles written in English that contribute to understanding of barriers to CLP referral were included.ResultsThirty-five eligible articles were found and they were grouped thematically into three categories: (1) Systemic factors; (2) Referrer factors; (3) Patient factors. Systemic factors that improves referrals include a dedicated CLP service, active CLP consultant and collaborative screening of patients. Referrer factors that increases referrals include doctors of internal medicine specialty and comfortable with CLP. Patients more likely to be referred tend to be young, has psychiatric history, live in an urban setting or has functional psychosis.ConclusionThis is the first systematic review that examines factors that influence CLP inpatient referrals. Although there is research in this area, it is of limited quality. Education could be provided to hospital doctors to better recognise mental illness. Collaborative screening of vulnerable groups could prevent inpatients from missing out on psychiatric care. CLP clinicians should use the knowledge gained in this review to provide quality engagement with referrers.

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Section: Resultsmentioning

confidence: 99%

Why are hospital doctors not referring to Consultation-Liaison Psychiatry? – a systemic review

2016

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“…Em nosso meio, a depressão foi diagnosticada em 30,5% dos pacientes internados no Hospital A.C. Camargo, com vários tipos de câncer (n = 319) 10 . Essa taxa varia em função da metodologia utilizada para investigar a depressão e de diversos fatores como tipo de câncer, presença ou não de dor, evolução e complicações do câncer, além do próprio tratamento oncológico.…”

Section: Prevalência Da Depressão Em Pacientes Com Câncer E Os Fatoreunclassified

Depressão e câncer

Bottino¹,

Fráguas

Gattaz

2009

Rev. psiquiatr. clín.

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ResumoA depressão é o transtorno psiquiátrico mais comum em pacientes com câncer, com prevalências variando de 22% a 29%. Essa variabilidade está associada a sítios do tumor, estágio clínico, dor, funcionamento físico limitado, além da existência de suporte social. A depressão associa-se a um pior prognóstico e aumento da mortalidade pelo câncer. Síndromes depressivas podem ser uma consequência das terapias antineoplásicas, como ocorre em 21% a 58% dos pacientes recebendo interferon-alfa. Sentimentos de tristeza e desespero podem inibir a procura de cuidado pelos pacientes, dificultando o reconhecimento da depressão. O tratamento com antidepressivos é efetivo e melhora a adesão aos tratamentos do câncer, reduzindo efeitos adversos como náusea, dor e fadiga. Em pacientes com câncer, tratamento prévio com antidepressivos pode minimizar sintomas depressivos induzidos por interferon-alfa. O tratamento com antidepressivos parece ser uma estratégia efetiva para prevenir o desenvolvimento da depressão induzida por interferon-alfa. Intervenções psicossociais, como técnicas de relaxamento, terapia individual e em grupo, também podem ser utilizadas na redução dos sintomas depressivos e de estresse em pacientes com câncer. Bottino SMB, et al. / Rev Psiq Clín. 2009;36(3):109-15Palavras-chave: Depressão, câncer, diagnóstico, tratamento. AbstractDepression is the most common psychiatric disorder in patients with cancer, with prevalence rates ranging from 22% to 29%. This variability is associated to cancer sites, clinical stages, pain, limited physical functioning, beyond the existence of social support. Depression is associated to poorer prognosis and higher cancer mortality. Depressive syndromes can be a consequence of the antineoplasic therapies, as occurs in 21% to 58% of the patients treated with alfa-interferon. Sadness and desperation can inhibit the search for care by the patients, and difficult depression recognition. Antidepressant treatment is effective, and improve the adherence to cancer treatments, reducing side effects as nausea, pain and fatigue. In cancer patients, pretreatment with antidepressants seems to minimize depressive symptoms induced by interferon-alfa. Psychosocial interventions as relaxing techniques, group and individual psychotherapies can also be applied to reduce depressive and stress symptoms in patients with cancer.Bottino SMB, et al. / Rev Psiq Clín. 2009;36(3):109-15

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“…4 Depression is the emotional state more often associated with cancer. 5 High levels of anxiety have also been found at all stages of the oncological disease, including finding non-diagnosed breast tumors, biopsy and reappearance of the illness. 6 Depression and anxiety can affect QOL in cancer patients and the treatment of these negative emotional states is associated with an improvement in QOL.…”

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confidence: 99%

Psychosocial Predictors of Quality of Life in Hematological Cancer

Pulgar

Alcalá

Paso

2014

Behavioral Medicine

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The improvement of health related Quality of Life (QOL) has become one of the main objectives of psychological interventions in cancer. The aim of this study was to analyze sociodemographic and psychosocial variables that predict the different components of QOL in a sample of 69 hemato-oncological patients. Depression, social support, disease-related stress situations, coping strategies and optimism were taken as psychosocial predictors. QOL was evaluated with the Short-Form Health Survey (SF-36). With respect to sociodemographic variables, results showed that age and time from the diagnosis were associated with a decrease in QOL, while educational level and having a partner were associated with less pain and better mental health. With respect to negative-affecting psychosocial variables, depression was associated with general health and social functioning, the coping strategy of stoicism was associated with physical and emotional roles, the number of disease-related stress situations was associated with pain, and the feeling of negative emotions associated with the illness was associated with mental health. Social support and optimism were positively associated with vitality. These results have clear clinical implications for psychological interventions aimed to improve QOL in hemato-oncological patients.

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Clinical and demographic profile of cancer patients in a consultation-liaison psychiatric service

Cited by 17 publications

References 11 publications

Why are hospital doctors not referring to Consultation-Liaison Psychiatry? – a systemic review

Why are hospital doctors not referring to Consultation-Liaison Psychiatry? – a systemic review

Depressão e câncer

Psychosocial Predictors of Quality of Life in Hematological Cancer

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