Please use this identifier to cite or link to this item: http://dx.doi.org/10.25673/55175
Title: Predictors of psychiatric comorbidity in cancer patients at the time of their discharge from the hospital
Author(s): Roick, Julia
Danker, Helge
Kersting, Anette
Dietrich, Arne
Dietz, Andreas
Papsdorf, Kirsten
Meixensberger, Jürgen
Stolzenburg, Jens-Uwe
Wirtz, Hubert
Singer, Susanne
Issue Date: 2021
Type: Article
Language: English
Abstract: Purpose: A cancer diagnosis can have a substantial impact on one’s mental health. The present study investigated the prevalence and predictors of psychiatric comorbidities in cancer patients at the time of their discharge from the hospital. Methods: Psychiatric comorbidities were assessed shortly before hospital discharge and half a year after hospitalization using a structured clinical interview (SCID), based on the diagnostic and statistical manual of mental disorders (DSM-IV). Frequencies at both time points were estimated using percentages and corresponding 95% confidence intervals. Predictors of mental disorders were identified using binary logistic regression models. Results: At time of hospital discharge, 39 out of 334 patients (12%) were diagnosed with a psychiatric comorbidity, and 15 (7%) were diagnosed half a year later. Among the diagnoses, adjustment disorders (3%) were most frequent at the time of hospital release, while major depression (3%) was the most frequent 6 months later. Having a mental disorder was associated with unemployment (odds ratio (OR) 3.4, confidence interval (CI) 1.1–10.9, p = 0.04). There was no evidence that school education (OR 2.0, CI 0.4–9.0, p = 0.38), higher education (OR 0.7, CI 0.2–2.4, p = 0.60), income (OR 1.0, CI 1.0–1.0, p = 0.06), tumor stage (OR 1.1, CI 0.4–3.2, p = 0.85), type of disease (OR 0.6, CI 0.2–2.1, p = 0.47), pain (OR 1.0, CI 1.0–1.0, p = 0.15), fatigue (OR 1.0, CI 1.0–1.0, p = 0.77), or physical functioning (OR 1.0, CI 1.0–1.0, p = 0.54) were related to the presence of a psychiatric comorbidity. Conclusions: Unemployment was associated with at least a threefold increased risk of mental disorder, which highlights the need for special attention to be given to this subgroup of cancer patients.
URI: https://opendata.uni-halle.de//handle/1981185920/57127
http://dx.doi.org/10.25673/55175
Open Access: Open access publication
License: (CC BY 4.0) Creative Commons Attribution 4.0(CC BY 4.0) Creative Commons Attribution 4.0
Sponsor/Funder: Publikationsfonds MLU
Journal Title: Social Psychiatry and Psychiatric Epidemiology
Publisher: Steinkopff
Publisher Place: Darmstadt
Original Publication: 10.1007/s00127-021-02138-1
Appears in Collections:Open Access Publikationen der MLU

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