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Current Psychiatry Reviews

Editor-in-Chief

ISSN (Print): 1573-4005
ISSN (Online): 1875-6441

Issues in the Psychiatric Screening of Cancer Patients

Author(s): Colin R. Martin and Karis K.F. Cheng

Volume 2 , Issue 1 , 2006

Page: [3 - 10] Pages: 8

DOI: 10.2174/157340006775101472

Price: $65

Abstract

The experience of cancer represents a unique challenge to both the physical and psychological health of the individual. High levels of distress are common in cancer patients irrespective of the type of pathology. However, the physiological aspects of the disease process may be a source of confound in the psychiatric screening process, thereby reducing the accuracy of case identification. The current review examines the salient factors which should be considered by clinicians when screening for clinically significant psychological distress. The review will evaluate the strengths and limitations of contemporary screening instruments within this context and suggest approaches to maximize screening accuracy in this clinical group. Finally, the review will consider issues in the efficiency of the referral pathway to liaison psychiatry services for those patients positively screened. Implications for current psychiatric practice and the direction of future research are also discussed.

Keywords: psychological crisis, mood disorder, Chemotherapy, persistent reactive distress, Hospital Anxiety and Depression Scale (HADS), Major Depression Inventory (MDI), DSM-IV


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