Derogatis L R, Morrow G R, Fetting J, Penman D, Piasetsky S, Schmale A M, Henrichs M, Carnicke C L
JAMA. 1983 Feb 11;249(6):751-7. doi: 10.1001/jama.249.6.751.
Two hundred fifteen randomly accessed cancer patients who were new admissions to three collaborating cancer centers were examined for the presence of formal psychiatric disorder. Each patient was assessed in a common protocol via a psychiatric interview and standardized psychological tests. The American Psychiatric Association's DSM-III diagnostic system was used in making the diagnoses. Results indicated that 47% of the patients received a DSM-III diagnosis, with 44% being diagnosed as manifesting a clinical syndrome and 3% with personality disorders. Approximately 68% of the psychiatric diagnoses consisted of adjustment disorders, with 13% representing major affective disorders (depression). The remaining diagnoses were split among organic mental disorders (8%), personality disorders (7%), and anxiety disorders (4%). Approximately 85% of those patients with a positive psychiatric condition were experiencing a disorder with depression or anxiety as the central symptom. The large majority of conditions were judged to represent highly treatable disorders.
对随机抽取的215名新入住三家合作癌症中心的癌症患者进行了检查，以确定是否存在正式的精神障碍。通过精神科访谈和标准化心理测试，按照通用方案对每位患者进行评估。诊断采用美国精神病学协会的《精神疾病诊断与统计手册》第三版（DSM - III）诊断系统。结果表明，47%的患者获得了DSM - III诊断，其中44%被诊断为表现出临床综合征，3%被诊断为患有个性障碍。约68%的精神科诊断为适应障碍，13%为重度情感障碍（抑郁症）。其余诊断分布在器质性精神障碍（8%）、个性障碍（7%）和焦虑症（4%）之间。约85%有阳性精神状况的患者所患疾病以抑郁或焦虑为主要症状。绝大多数病情被判定为高度可治疗的疾病。
