Psycho-Oncological Issues in a Pediatric Sample: Two Years Follow-Up Data of Consultation Liaison Psychiatry.

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-03-01 DOI:10.1002/pon.70112

Ayşegül Efe, Yusuf Selman Çelik, Meryem Kaşak, Şeyma Selcen Macit, Zehra Betül Özdemir, Sidre Nur Karakolcu, Elif Nur Şen, Gülce Solcan, Sibel Maraz, Ahmet Furkan Kaya, Vuslat Sena Yavuz Kaynak, Ülkü Beyza Gökmen, Dilanur Cınbırtoğlu, Reyyan Nazlıgül, Muhammed Coşkun, Berkay Şahin, Yusuf Öztürk

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引用次数: 0

Abstract

Background: 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.

Aims: This study aims to explore the sociodemographic and psychiatric profiles of pediatric oncology patients referred to CLP services.

Methods: 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.

Results: 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.

Conclusions: 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.

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儿童样本的心理肿瘤问题：咨询联络精神病学的两年随访数据。

背景：儿科肿瘤患者在身体疾病和治疗负担的同时，还面临着大量的心理社会和精神挑战。咨询联络精神病学（CLP）是在更广泛的医疗保健框架内解决这些年轻患者心理健康需求的关键。社会经济差异、家庭动态和教育中断进一步使儿科肿瘤学的精神病学前景复杂化。目的：本研究旨在探讨儿童肿瘤患者的社会人口学和精神病学特征。方法：对97例两年内接受CLP咨询的儿科肿瘤患者进行回顾性横断面研究。数据包括社会人口学细节、临床病史和基于结构化临床访谈的精神病学诊断。统计分析，包括多变量逻辑回归，检验了精神病学结果与社会经济地位、教育状况和临床因素等变量之间的关系。结果：本组以低社会经济地位者为主（72.2%），抑郁、适应障碍、睡眠障碍多见。由于肿瘤疾病和治疗过程而无法继续接受正规教育的患者表现出更高的抑郁率。精神病理学与社会经济地位较低、父母年龄较大和类固醇使用等因素之间出现了显著的关联，尽管预测强度不大。大多数精神病学咨询是由于观察到的精神疾患，而不是主动的社会心理支持，突出了CLP实践中的反应性而不是预防性方法。结论：研究结果强调了早期、结构化的精神病学干预和积极的CLP方法对于减轻精神病学对儿科肿瘤患者的影响的重要性。解决基于ses的差异和支持教育连续性对于儿童癌症整体护理至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.