婦人科がん患者における精神の障害—その内容，罹患率，リスクファクター

Psychiatric Morbidity in Patients with Gynecologic Cancer: its nature, prevalence and the risk factors

　【抄録】婦人科がんの患者の精神的な障害の罹患率，その内容，およびそのリスクファクターを明らかにするために，入院患者48名を対象として，診断告知後に横断的調査を行った。診断は，POMS，精神医学的面接の結果をもとにして，DSM-Ⅳに従った。加えて，大うつ病エピソードの診断は，Endicottの診断基準も用いた。その結果，8.3％が大うつ病エピソードの，20.9％が適応障害の診断基準に合致し，計29.2％の患者が，DSM-Ⅳの診断基準に合致した何らかの精神的障害を有していた。また，身近に相談相手がいないことは，精神の障害のリスクファクターの1つであることが明らかとなった。

　Psychiatric morbidity, its nature and its risk factors in patients with gynecological cancer, has not been explosed. We carried out a cross-sectional study to clarify it. The patients were 48 women, inpatients, hospitalized at Kyushu Kosei-Nenkin Hospital. They were hospitalized for gynecological cancer treatment. We examined the patients using DSM-Ⅳ criteria based on the results of POMS and psychiatric interviews. For major depressive episodes we also used the criteria of Endicott to exclude the physical effects of the cancer and the treatment.

　In our results, 8.3% of the patients met the criteria of a major depressive episode and 20.9% met the criteria of an adjustment disorder. As a whole, 29.2% of the patients met some criteria of the DSM-Ⅳ. 27.1% met the criteria of disorders which show depressive feelings as one of the symptoms. Also, we clarified that the absence of a person for the patient to consult with is one of the risk factors for these patients. Consequently, it is important to diagnose and treat psychiatric disease actively to improve the quality of life of patients and to help the medical staff treat patients more effectively.