Grassi L, Gritti P, Rigatelli M, Gala C
Dipartimento Discipline Comunicazione e Comportamento, Sezione di Psichiatria, Universitá di Ferrara, Corso Giovecca 203, 44100, Ferrara, Italy.
Eur J Cancer. 2000 Mar;36(5):579-85. doi: 10.1016/s0959-8049(99)00285-3.
Data relative to consultation-liaison psychiatry (C-L) in oncology are lacking. In order to examine this area, a multicentre investigation was conducted in 17 general hospitals in Italy. All psychiatric consultation requests for cancer patients referred to C-L during a 1-year period were evaluated. Only 5% (n=217 referred patients: 114 men and 103 women) of all C-L activity were for cancer patients. Most were 'routine' consultations (72%) for current psychiatric symptoms (69%) or coping/compliance problems (12%). Previous psychological or psychiatric disorders were shown in 32% of cases. Approximately 40% of patients were not informed of their referral to C-L. The most frequent ICD-10 psychiatric diagnoses were adjustment disorders (27%) and major affective disorders (23%). Transfer to psychiatric units was low (1%). These findings indicate the need for improvement of referral criteria to C-L and closer attention to continuity of psychosocial care of cancer patients during hospitalisation and post-discharge.
关于肿瘤学中会诊-联络精神病学（C-L）的数据尚缺。为研究该领域，在意大利的17家综合医院开展了一项多中心调查。对在1年期间转至C-L的所有癌症患者的精神科会诊请求进行了评估。所有C-L活动中仅有5%（n = 217名转诊患者：114名男性和103名女性）是针对癌症患者的。大多数是针对当前精神症状（69%）或应对/依从性问题（12%）的“常规”会诊（72%）。32%的病例有既往心理或精神障碍。约40%的患者未被告知其被转诊至C-L。最常见的国际疾病分类第十版（ICD-10）精神科诊断是适应障碍（27%）和重度情感障碍（23%）。转至精神科病房的比例较低（1%）。这些发现表明需要改进转诊至C-L的标准，并在住院期间和出院后更密切关注癌症患者心理社会护理的连续性。
