dos Santos M J, Pimentel P, Monteiro J M, Cardoso G, de Oliveira J J, Almiro M, Santos J M, de Lacerda J M
Núcleo de Psiquiatria de Ligação, Hospital Santa Maria, Lisboa.
Acta Med Port. 1991 Jan-Feb;4(1):5-8.
We report the results of a year of regular psychiatric support in the Hematology Department (UTI-DH) at Santa Maria Hospital. During a six-month period, the total group of hospital inpatients suffering from leukemia, Hodgkin's disease or non-Hodgkin's lymphoma, were assessed, using a semi-structured interview. A prevalence of 30% of adjustment disorders (depression and/or anxiety) and 2% of organic mental syndromes was found employing the DSM-III-R diagnostic system. In the second six-month period only patients referred by their doctor and/or nurse were observed. The two rates are discussed. A lower prevalence was found if compared with other studies in cancer patients in general. Possible causes will be focussed. General problems related to the nature of the cancer were identified. The consequences of the omission of cancer diagnosis to patients are analysed. The communication between physician and patient which is often neglected irrespectively of the culture or country, is stressed.
我们报告了圣玛丽亚医院血液科（UTI-DH）为期一年的定期精神科支持的结果。在六个月的时间里，我们使用半结构化访谈对患有白血病、霍奇金病或非霍奇金淋巴瘤的全体住院患者进行了评估。采用《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）诊断系统，发现适应障碍（抑郁和/或焦虑）的患病率为30%，器质性精神综合征的患病率为2%。在第二个六个月期间，仅观察了由医生和/或护士转诊的患者。对这两个比率进行了讨论。与一般癌症患者的其他研究相比，患病率较低。将重点关注可能的原因。确定了与癌症性质相关的一般问题。分析了对患者漏诊癌症的后果。强调了医生与患者之间的沟通，无论文化或国家如何，这种沟通往往被忽视。
