Asai Mariko, Akechi Tatsuo, Nakano Tomohito, Shimizu Ken, Umezawa Shino, Akizuki Nobuya, Uchitomi Yosuke
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Chiba, Japan.
Palliat Support Care. 2008 Sep;6(3):225-30. doi: 10.1017/S1478951508000369.
Psychological distress of cancer patients' family members is treated by psychiatric consultation service for outpatients at National Cancer Center Hospitals in Japan. The purpose of this study was to identify psychiatric disorders and explore background characteristics of cancer patients' family members referred to psychiatric consultation service, so that we could better understand current utilization of this psychiatric consultation service for cancer patients' family members.
A retrospective descriptive study using clinical practice data obtained for 5 years (from January 2000 to December 2004) was conducted at two National Cancer Center Hospitals. We reviewed the psychiatric consultation database, computerized patient database of the National Cancer Center Hospitals, and medical charts of cancer patients' family members who were referred to psychiatry and their cancer patients.
Out of a total of 4992 psychiatric consultations, 118 (2%) were for cancer patients' family members. The most common psychiatric disorders among cancer patients' family members were adjustment disorders (n = 69, 58%), followed by major depression (n = 30, 25%). Female (n = 101, 86%), spouse (n = 87, 74%), married (n = 92, 78%), and housewife (n = 63, 53%) were the most common background characteristics of the family members. Sixty-four percent of cancer patients (n = 75) were hospitalized at the time of their family members' referral and 34% of cancer patients (n = 40) had already received psychiatric consultation service and 55% of cancer patients (n = 65) had delivered bad news prior to their family members' referral.
We found that very few family members were provided with psychiatric consultation service at two National Cancer Center Hospitals. Adjustment disorders are suggested to be the most common psychiatric disorders among cancer patients' family members.
日本国立癌症中心医院的门诊精神科会诊服务用于治疗癌症患者家属的心理困扰。本研究的目的是识别精神障碍，并探索转介至精神科会诊服务的癌症患者家属的背景特征，以便我们能更好地了解目前该精神科会诊服务在癌症患者家属中的使用情况。
在两家国立癌症中心医院进行了一项回顾性描述性研究，使用了5年（2000年1月至2004年12月）期间获得的临床实践数据。我们查阅了精神科会诊数据库、国立癌症中心医院的计算机化患者数据库，以及转介至精神科的癌症患者家属及其癌症患者的病历。
在总共4992次精神科会诊中，有118次（2%）是针对癌症患者家属的。癌症患者家属中最常见的精神障碍是适应障碍（n = 69，58%），其次是重度抑郁症（n = 30，25%）。女性（n = 101，86%）、配偶（n = 87，74%）、已婚（n = 92，78%）和家庭主妇（n = 63，53%）是家属最常见的背景特征。64%的癌症患者（n = 75）在其家属转介时正在住院，34%的癌症患者（n = 40）已经接受过精神科会诊服务，55%的癌症患者（n = 65）在其家属转介之前已被告知坏消息。
我们发现，在两家国立癌症中心医院，接受精神科会诊服务的家属非常少。适应障碍被认为是癌症患者家属中最常见的精神障碍。
