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J Psychosom Res. 1989;33(2):235-9.

The recognition of psychiatric morbidity on a medical oncology ward.

Author information

1
Department of Medical Oncology, Christie Hospital, Withington Hospital, Manchester, U.K.

Abstract

The Generalised Health Questionnaire and Standardised Psychiatric Interview were used to determine psychiatric morbidity among 126 patients consecutively admitted to a medical oncology unit. Senior house officers and nurses also rated anxiety and depression. 36 (29%) patients were psychiatrically ill and affective disorders (29, 23%) predominated. Psychiatric morbidity was associated with feeling moderately or severely physically ill, and previous psychiatric illness, but not with awareness of having cancer or lack of a confiding tie. The General Health Questionnaire identified 79% of affective disorders at the cost of a 34% false positive rate. Doctors and nurses recognised only 49% of the depressed group; more of those with morbid anxiety (79%) were identified but only because they assumed most patients were anxious. Training in interviewing skills could substantially improve the identification and referral rates of patients with psychiatric morbidity.

PMID:
2724199
DOI:
10.1016/0022-3999(89)90051-2
[Indexed for MEDLINE]

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