Awareness of diagnosis and psychiatric morbidity among cancer patients— a study from south india

Chandra, Prabha S.; Chaturvedi, Santosh K.; Kumar, Anil; Kumar, Sateesh; Subbakrishna, D. K.; Channabasavanna, S. M.; Anantha, N.

doi:10.1016/s0022-3999(98)00012-9

Cited by 52 publications

(66 citation statements)

References 14 publications

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“…Similarly, in India, which has an Eastern culture, it has also been demonstrated that psychiatric disorders occur to a lesser extent in patients who are not aware of their cancer diagnosis. The authors concluded that these patients had a more hopeful outlook as to the outcome of treatment [2,13]. On the other hand, most of the aware patients in our study group were not well informed by their physicians about the cancer diagnosis and they stated that they obtained information indirectly.…”

Section: Discussionmentioning

confidence: 72%

“…First, the low rate of awareness may reflect the attitude of the doctor in avoiding informing patients about a cancer diagnosis, as found in studies from the other oriental countries [13,20,45]. Clinical experience and research evidence suggest that many cancer patients in Turkey are not well informed about their diagnosis and prognosis, although relatives are informed [16].…”

Section: Discussionmentioning

confidence: 99%

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Psychiatric morbidity among cancer patients and awareness of illness

Ateşçi

Baltalarli

Oğuzhanoğlu

et al. 2004

Supportive Care in Cancer

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A significant proportion of cancer patients experience psychiatric morbidity. Potential predictors of psychiatric morbidity include patient disease-related factors and factors relating to the patient's environment. The aim of this study was to investigate the prevalence of psychiatric morbidity and the relationship between the clinical or personal factors, especially psychiatric morbidity, and awareness of cancer diagnosis among a group of Turkish cancer patients. A total of 117 cancer patients were assessed using the Structured Clinical Interview for DSM-IV (SCID), the Hospital and Anxiety Depression Scale (HADS) and the General Health Questionnaire (GHQ). Of these patients, 30% had a psychiatric diagnosis. Adjustment disorders comprised most of the psychiatric diagnoses. Awareness of the diagnosis of cancer, history of previous psychiatric disorders, pain and stress factors were correlated with psychiatric morbidity. Of the 117 patients, 64 (54.7%) were unaware of the diagnosis of cancer. Most of the patients (67.9%) who were considered to be aware of the cancer diagnosis stated that they had guessed their illness from the treatment process or drug adverse effects. Psychiatric morbidity was significantly higher in the patients who knew that they had a cancer diagnosis (P=0.03). These findings suggest that the awareness of cancer diagnosis is related to the presence of psychiatric morbidity. In particular, the understanding of the diagnosis indirectly may be stressful to the patient because it arouses suspicion about the cancer and treatment, and consequently can lead to psychiatric disturbance. In Turkey honest disclosure of the true diagnosis is still not common for cancer patients and it seems to be essential to improve this situation.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Psychiatric morbidity among cancer patients and awareness of illness

Ateşçi

Baltalarli

Oğuzhanoğlu

et al. 2004

Supportive Care in Cancer

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show abstract

“…Chandra PS et al studied 294 newly admitted cancer patient at a hospital in south India and assessed the psychiatric morbidity in them [17]. We therefore aimed to measure the prevalence of anxiety & depression & effects of socio demographic and clinical variables on emotional disturbance of cancer patient.…”

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confidence: 99%

Prevalence of Emotional Distress in Cancer Patients

Santre¹,

Rathod²,

Maidapwad³

2014

IOSRJDMS

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“…The costs of the management also need to be assessed in comparison with the outcomes. Clinical decision making becomes more difficult if the patent as well as the service provider has limited resources [16].Fewer research in the area is also responsible for the paucity of guidelines and evidence based practice.…”

Section: Do We Need a More Inclusive Model For Understanding Ethics Imentioning

confidence: 99%

“…Thirdly family plays an integral role in all aspects of the plan of management right from diagnosis to treatment. A number of times care givers do not want the patient to know about the details of the condition or sometimes even the diagnosis itself [16]. Hence the concept of confidentiality is not completely maintained either.…”

mentioning

confidence: 99%

Do we need a more inclusive model for understanding Ethics in palliative care in the developing countries?

Veqar¹

2016

PMCOA

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Awareness of diagnosis and psychiatric morbidity among cancer patients— a study from south india

Cited by 52 publications

References 14 publications

Psychiatric morbidity among cancer patients and awareness of illness

Psychiatric morbidity among cancer patients and awareness of illness

Prevalence of Emotional Distress in Cancer Patients

Do we need a more inclusive model for understanding Ethics in palliative care in the developing countries?

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