Prevalence of neoplasms among former adolescent psychiatric inpatients
Räsänen, Santtu; Mäkelä, Hannu; Riipinen, Pirkko; Riala, Kaisa; Hakko, Helinä (2019-08-08)
Räsänen, S., Mäkelä, H., Riipinen, P., Riala, K., Hakko, H. (2019) Prevalence of Neoplasms among Former Adolescent Psychiatric Inpatients. Psychiatry investigation, 16 (8), 594-601. https://doi.org/10.30773/pi.2019.04.20
© 2019 Korean Neuropsychiatric Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
https://creativecommons.org/licenses/by-nc/4.0/
https://urn.fi/URN:NBN:fi-fe2020042119524
Tiivistelmä
Abstract
Objective: To examine the association between psychiatric disorders and neoplasms.
Methods: A follow-up study of a population-based cohort of patients admitted for psychiatric care between the ages 13–17 years. The cases were patients with a follow-up diagnosis of neoplasm. The K-SADS-PL interview was used to assess DSM-IV based psychiatric diagnoses at adolescence. The treatment episodes due to neoplasms and related psychiatric disorders were extracted from the National Health Care Registers.
Results: Of the original cohort, 6.3% of subjects had a neoplasm diagnosis. Male cases were characterized as taking snuff and females as having a fear of becoming obese. 75% of cases had smoked regularly and 47% suffered from substance misuse disorder already in adolescence. At a mean age of 22 years, the diagnoses of skin or soft tissue neoplasms were prevailing, three being malignant neoplasms of the skin, mouth or colon. Non-psychotic disorders were comorbid both two years before (26%) and after (33%) the neoplasm diagnosis.
Conclusion: Focus on psychiatric symptoms of patients with neoplasms may enhance their treatment outcome and quality of life.
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