Psychiatric Disorders in Cancer Patients: Descriptive Analysis of 1721 Psychiatric Referrals at Two Japanese Cancer Center Hospitals

Akechi, Tatsuo; Nakano, Tomohito; Okamura, Hitoshi; Ueda, Seiko; Akizuki, Nobuya; Nakanishi, Tatsuro; Yoshikawa, Eisyo; Matsuki, Hideyuki; Hirabayashi, Eiichi; Uchitomi, Yosuke

doi:10.1093/jjco/hye039

Cited by 91 publications

(59 citation statements)

References 43 publications

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“…According to the psychiatric consultation data of 1721 cancer patients referred to the psychiatry division of two Japanese cancer hospitals, the most common psychiatric diagnosis was adjustment disorders, followed by delirium and depression (1). Comparable results were reported previously (2 -5), and these three are considered common psychiatric disorders in cancer patients in epidemiological surveillance.…”

Section: Introductionmentioning

confidence: 65%

Psychiatric Disorders in Cancer Patients at a University Hospital in Japan: Descriptive Analysis of 765 Psychiatric Referrals

Tada

Matsubara

Kawada

et al. 2012

Japanese Journal of Clinical Oncology

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Objective: In cancer patients, adjustment disorders, delirium and depression have been identified as common psychiatric disorders. Although a comparable result was reported in the National Cancer Center in Japan, the nature of patients in that hospital may differ from that in local hospitals. There is a possibility to expand the findings of psycho-oncology by evaluation of the data from a local university hospital and comparison with the National Cancer Center data. Methods: We retrospectively reviewed the medical records of cancer patients who were referred to the Department of Psycho-Oncology at Saitama Medical University International Medical Center. We identified their characteristics and psychiatric diagnoses and compared these with the National Cancer Center data. Results: During the study period, 765 cancer patients were referred. The numbers of inpatients and outpatients were almost the same. The most common psychiatric diagnosis was adjustment disorders (24%), followed by delirium (16%) and then major depressive disorder (12%). The rank of these three was the same as that at the National Cancer Center. Outpatients constituted more than 80% of the patients with major depressive disorder. The proportion of cancer patients with schizophrenia in this study (4.3%) was higher than that in the National Cancer Center (1.6%). Conclusions: This study revealed basic information about the consultation data of cancer patients at a local university hospital in Japan. The importance of communication with outpatients was suggested. It seems that cancer treatment for patients with schizophrenia in a local hospital is also important.

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Section: Introductionmentioning

confidence: 65%

Psychiatric Disorders in Cancer Patients at a University Hospital in Japan: Descriptive Analysis of 765 Psychiatric Referrals

Tada

Matsubara

Kawada

et al. 2012

Japanese Journal of Clinical Oncology

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“…The number of patients referred to psychiatrists in both the T1 period and the T2 period were confirmed in the computerized database of the psychiatry division. 30 The feasibility of the DIT in a clinical oncology setting was evaluated by calculating the proportion screened, which was the portion of patients who completed the DIT among all patients admitted. Patients' acceptance of psychiatric referral was evaluated by calculating the proportion who accepted, which was the portion of patients who accepted psychiatric referral among all positive-scoring patients.…”

Section: Outcome Measuresmentioning

confidence: 99%

Usefulness of the nurse‐assisted screening and psychiatric referral program

Shimizu

Akechi

Okamura

et al. 2005

Cancer

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BACKGROUNDMajor depression and adjustment disorders are common psychiatric disorders in patients with cancer, but they are often overlooked in clinical oncology settings. The nurse‐assisted screening and psychiatric referral program (NASPRP) has been introduced in clinical practice to facilitate psychiatric treatment for major depression and adjustment disorders. This study assessed the usefulness of the NASPRP and compared it with usual practice.METHODSThe program consists of two stages. In the first stage, consecutive patients newly admitted to the Oncology/Hematology Unit are administered the Distress and Impact Thermometer (DIT) by nurses as a brief screening tool for major depression and adjustment disorders. In the second stage, the nurses recommend psychiatric referral to patients with scores above the cutoff point. Patients' records were reviewed for a 3‐month period before the start of the program and during the 3‐month period after the start of the program. These records were then compared.RESULTSOf 157 patients newly admitted during the program period, 86.0% (135/157) completed the DIT and results were positive in 49.6% (67/135), but only 28.2% (19/67) accepted psychiatric referral. Ultimately, 11.5% (18/157) of patients newly admitted were diagnosed with major depression or adjustment disorders and treated by psychiatric service, a significantly higher proportion than during the preceding 3‐month period, before the program was begun (2.5%; P = 0.001).CONCLUSIONThe NASPRP enabled identification of major depression and adjustment disorders in patients with cancer and introduced them to psychiatric treatment. Nevertheless, there is room for improvement in the program. Cancer 2005. © 2005 American Cancer Society.

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“…20 Lung carcinoma patients constitute one of the largest groups of patients that require palliative care and psychiatric service in Japan. 21,22 Third, several reports have suggested that lung carcinoma patients experience higher psychological distress than other cancer patients. 23,24 The objective of the current study was to ascertain the prevalence of suicidal ideation and to investigate its predictive factors in patients with unresectable nonsmall cell lung carcinoma.…”

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confidence: 99%

Predictive factors for suicidal ideation in patients with unresectable lung carcinoma

Akechi

Okamura

Nishiwaki

et al. 2002

Cancer

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Agglomerate particulate fluidization (APF), consisting of uniform bubbleless fluidization of agglomerated fine particles, has been observed in some fluidized beds of fine and ultrafine powders. Experiments performed in centrifugal fluidized beds (CFB) and vibrofluidized beds (VFB) show that the quality of fluidization is improved by increased effective acceleration. The Richardson‐Zaki modified equation is used, and a proposed criterion for agglomerate size is presented in order to predict the effect of the increase of gravitational acceleration on the APF bed. Following, model predictions are compared with experimental data on VFB of xerographic toners (particle size ≈ 10μ m) displaying APF in a wide interval of gas velocities. It is seen that the agglomerate size and agglomerate volume fraction ϕ* decrease as the effective acceleration is increased. The agreement with the model predictions is good, but at some critical acceleration visible bubbling is stimulated. At bubbling stimulation ϕ* is close to the value of ϕ* at the onset of bubbling in the absence of external vibrations when the gas velocity is increased up to the minimum bubbling velocity. This result indicates that the agglomerate size cannot be decreased indefinitely since at some critical point the concentration and size of local voids can be higher enough to yield the irreversible coalescence of voids into large bubbles. Particle agglomeration is, therefore, essential at some extent to the uniform fluidized state observed for fine particles. © 2006 American Institute of Chemical Engineers AIChE J, 2006

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Psychiatric Disorders in Cancer Patients: Descriptive Analysis of 1721 Psychiatric Referrals at Two Japanese Cancer Center Hospitals

Abstract: The common psychiatric disorders observed in Japanese cancer patients were similar to those in the Western countries provided the cancer diagnosis is disclosed.

Cited by 91 publications

References 43 publications

Psychiatric Disorders in Cancer Patients at a University Hospital in Japan: Descriptive Analysis of 765 Psychiatric Referrals

Psychiatric Disorders in Cancer Patients at a University Hospital in Japan: Descriptive Analysis of 765 Psychiatric Referrals

Usefulness of the nurse‐assisted screening and psychiatric referral program

Predictive factors for suicidal ideation in patients with unresectable lung carcinoma

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