Efe Ayşegül, Çelik Yusuf Selman, Kaşak Meryem, Macit Şeyma Selcen, Özdemir Zehra Betül, Karakolcu Sidre Nur, Şen Elif Nur, Solcan Gülce, Maraz Sibel, Kaya Ahmet Furkan, Kaynak Vuslat Sena Yavuz, Gökmen Ülkü Beyza, Cınbırtoğlu Dilanur, Nazlıgül Reyyan, Coşkun Muhammed, Şahin Berkay, Öztürk Yusuf
Department of Child and Adolescent Psychiatry, University of Health Sciences, Ankara Etlik City Hospital, Ankara, Türkiye.
Psychooncology. 2025 Mar;34(3):e70112. doi: 10.1002/pon.70112.
Pediatric oncology patients encounter substantial psychosocial and psychiatric challenges alongside physical illness and treatment burdens. Consultation-Liaison Psychiatry (CLP) is critical for addressing these young patients' mental health needs within a broader healthcare framework. Socioeconomic disparities, family dynamics, and educational interruptions further complicate the psychiatric landscape in pediatric oncology.
This study aims to explore the sociodemographic and psychiatric profiles of pediatric oncology patients referred to CLP services.
A retrospective cross-sectional study was conducted on 97 pediatric oncology patients who received CLP consultations over two years. Data included sociodemographic details, clinical history, and psychiatric diagnoses based on structured clinical interviews. Statistical analyses, including multivariate logistic regression, examined relationships between psychiatric outcomes and variables such as SES, educational status, and clinical factors.
The sample was predominantly of low SES (72.2%), with depression, adjustment disorders, and sleep disorders frequently observed. Patients unable to continue formal education due to their oncological disease and treatment process showed higher rates of depression. Significant associations emerged between psychopathology and factors such as lower SES, older parental age, and steroid use, although the predictive strength was modest. Most psychiatric consultations occurred due to observed psychiatric complaints rather than proactive psychosocial support, highlighting a reactive rather than preventive approach in CLP practice.
Findings highlight the importance of early, structured psychiatric intervention and a proactive CLP approach to mitigate the psychiatric impact on pediatric oncology patients. Addressing SES-based disparities and supporting educational continuity are essential for holistic pediatric cancer care.
儿科肿瘤患者在面临身体疾病和治疗负担的同时，还会遭遇重大的心理社会和精神方面的挑战。会诊联络精神病学（CLP）对于在更广泛的医疗保健框架内满足这些年轻患者的心理健康需求至关重要。社会经济差异、家庭动态以及教育中断使儿科肿瘤领域的精神状况更加复杂。
本研究旨在探讨转介至CLP服务的儿科肿瘤患者的社会人口统计学和精神状况。
对97名在两年内接受CLP会诊的儿科肿瘤患者进行肿瘤患者进行了一项回顾性横断面研究。数据包括社会人口统计学细节、临床病史以及基于结构化临床访谈的精神诊断。统计分析，包括多变量逻辑回归，检验了精神结果与社会经济地位（SES）、教育状况和临床因素等变量之间的关系。
样本主要为低SES（72.2%），经常观察到抑郁、适应障碍和睡眠障碍。因肿瘤疾病和治疗过程而无法继续接受正规教育的患者抑郁发生率更高。精神病理学与较低的SES、父母年龄较大和使用类固醇等因素之间存在显著关联，尽管预测强度不大。大多数精神会诊是由于观察到的精神症状，而不是主动的心理社会支持，这凸显了CLP实践中是反应性而非预防性的方法。
研究结果强调了早期、结构化精神干预以及积极的CLP方法对于减轻儿科肿瘤患者精神影响的重要性。解决基于SES的差异并支持教育连续性对于全面的儿科癌症护理至关重要。
