Westin T, Jansson A, Zenckert C, Hällström T, Edström S
Department of Otolaryngology, Sahigren's Hospital, University of Göteborg, Sweden.
Arch Otolaryngol Head Neck Surg. 1988 Dec;114(12):1449-53. doi: 10.1001/archotol.1988.01860240099032.
We have studied the prevalence of mental disorder in a variety of patients with head and neck cancer in different stages of disease and treatment. All together, 59 patients were studied according to a comprehensive psychopathologic rating score and nutritional status. Six patients refused to answer the comprehensive psychopathologic rating score questionnaire. Of the remaining 53 patients, 13 patients were classified as mentally disordered. Five patients were classified as mentally depressed according to a specific comprehensive psychopathologic rating scale depression score. We found that depression was significantly linked to malnutrition. In total, 30% of our patients with cancer with weight loss demonstrated features that were consonant with depression. This suggests that mental depression is associated with physical improvement rather than with the malignant condition per se.
我们研究了处于疾病和治疗不同阶段的各类头颈癌患者的精神障碍患病率。总共对59名患者进行了综合精神病理评分和营养状况研究。6名患者拒绝回答综合精神病理评分问卷。在其余53名患者中,13名被归类为精神障碍患者。根据特定的综合精神病理评分量表抑郁评分,5名患者被归类为精神抑郁。我们发现抑郁与营养不良显著相关。总体而言,我们体重减轻的癌症患者中有30%表现出与抑郁相符的特征。这表明精神抑郁与身体状况改善有关,而非与恶性疾病本身相关。