Psychiatry Investig.  2019 Aug;16(8):594-601. 10.30773/pi.2019.04.20.

Prevalence of Neoplasms among Former Adolescent Psychiatric Inpatients

• Räsänen
• Mäkelä H
• Riipinen P
• Riala K
• Hakko H

• KMID: 2456169
• DOI: http://doi.org/10.30773/pi.2019.04.20

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.

Keyword

Neoplasm; Psychiatric disorder; Adolescent; Young adult

MeSH Terms

Adolescent*
Cohort Studies
Colon
Delivery of Health Care
Diagnosis
Diagnostic and Statistical Manual of Mental Disorders
Female
Follow-Up Studies
Humans
Inpatients*
Male
Mouth
Prevalence*
Quality of Life
Skin
Smoke
Soft Tissue Neoplasms
Tobacco, Smokeless
Treatment Outcome
Young Adult
Smoke