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<div><strong><strong><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">Unaddressed psych disorders common with cancer</span></span></strong></strong><span style="FONT-FAMILY: Arial"></span></div>
<div class="Section1"><em><em><span style="FONT-FAMILY: Arial; FONT-SIZE: 10pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">Last Updated: 2005-11-14 14:09:04 -0400 (Reuters Health)</span></span></em></em><span style="FONT-FAMILY: Arial"></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">By Megan Rauscher</span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">NEW YORK (Reuters Health) - A study shows that about one of every ten adults with advanced cancer are plagued by major psychiatric disorders, yet many cancer patients with mental health problems aren't getting help from a mental health professional, according to the study. </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">This finding speaks to the need for cancer doctors and patients to discuss psychological concerns during cancer care. </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">"Willingness on the part of the patient did not seem to be a barrier to mental health service use," Dr. Nina S. Kadan-Lottick from Yale University School of Medicine in New Haven, Connecticut told Reuters Health, noting that "93 percent of the patients in the study who met criteria for a psychiatric disorder stated that they would pursue mental health services if they were aware that they had a problem." </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">In the study, the researchers determined the rate of psychiatric disorders and the use of mental health services in some 250 adults with advanced cancer participating in the "Coping with Cancer Study," an ongoing NIH-funded multicenter study of advanced cancer patients and caregivers. </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">Trained interviewers used established diagnostic tools to spot various psychiatric disorders including <a href="http://www.reutershealth.com/wellconnected/doc08.html" target="_blank"><span style="text-decoration: underline;"><span style="COLOR: #0000ff">depression</span></span></a>, <a href="http://www.reutershealth.com/wellconnected/doc28.html" target="_blank"><span style="text-decoration: underline;"><span style="COLOR: #0000ff">anxiety disorder</span></span></a>, panic disorder, post-traumatic <a href="http://www.reutershealth.com/wellconnected/doc31.html" target="_blank"><span style="text-decoration: underline;"><span style="COLOR: #0000ff">stress</span></span></a> disorder or PTSD. </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">Overall, 12 percent of the cancer patients met criteria for a major psychiatric illness -- 5 percent suffered panic attacks -- yet only 45 percent of affected patients accessed mental health services, according to a report in the journal Cancer. </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">"In our study of advanced cancer patients undergoing cancer therapy, fewer than half of the patients with active major psychiatric complaints received care from a mental health provider," Kadan-Lottick noted in comments to Reuters Health. </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">Caucasian cancer patients and patients who had discussed their psychological concerns with mental health staff were much more likely than others to receive mental health care. </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">"Our study," the authors write, "identified the underutilization of mental health services among advanced cancer patients." They encourage patients with cancer to discuss their mental health with their doctors, noting that if left untreated, psychiatric disorders may have a harmful effect on compliance with cancer therapy and overall outcome. </span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 12pt">SOURCE: Cancer, online November 14, 2005.</span></span><span style="FONT-FAMILY: Arial; FONT-SIZE: 8pt"><span style="FONT-FAMILY: Arial; FONT-SIZE: 7.5pt">Copyright © 2005 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world. </span></span><span style="FONT-FAMILY: Arial"></span></div>

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