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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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.