Elevated mortality risks associated with late diagnosis of cancer in individuals with psychiatric disorders?

IF 3.7 2区 医学 Q1 PSYCHIATRY Journal of psychiatric research Pub Date : 2024-12-04 DOI:10.1016/j.jpsychires.2024.11.064
S Burato, A D'Aietti, A Paci, L Pellegrini, G Di Salvo, C Sindici, C Dellach, S Negro, U Albert
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Abstract

Introduction: Considering the elevated cancer mortality in individuals with psychiatric conditions, possibly associated with late diagnosis, this study investigated cancer screening participation rates among patients under the care of four Trieste community mental health centers (CMHCs).

Methods: We conducted a retrospective cohort study on 1252 individuals with psychiatric disorders, retrieving their electronic health records up to December 2019. The study assessed participation rates in breast, cervical, and colorectal cancer screening programs. We explored differences in demographic and clinical characteristics of participants versus non-participants in screening programs.

Results: Patients with psychiatric conditions had lower screening participation rates compared to the general population of Trieste. The rates for breast and cervical cancers were approximately one-third lower, whereas the rate for colorectal cancer was halved. Psychiatric diagnosis influenced participation in breast cancer screening, with patients having anxiety disorders more likely to participate than those suffering from schizophrenia or disorders of adult personality and behavior. Age, nationality, marital status, employment status, and living situation all affected adherence to cervical cancer screening. Individuals who participated more frequently were in the 35-54 age range, of Italian nationality, employed, and had a family of their own. Conversely, non-participants were more likely to be widowed or unmarried. Finally, among patients eligible for colorectal cancer screening, those who participated were more likely to have a family of their own and have a diagnosis of affective or anxiety disorders, while those who did not adhere to the programs were more commonly widowed and had a higher frequency of diagnosis of schizophrenia or disorders of adult personality and behavior.

Conclusions: Mental health services should focus on increasing patients' participation in cancer screening programs in order to improve their physical health and reduce mortality. This intervention could contribute to promoting equitable access to preventative care and to bridging the gap between mental health and general medical services.

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简介:考虑到精神疾病患者的癌症死亡率升高可能与晚期诊断有关,本研究调查了接受的里雅斯特四家社区精神健康中心(CMHC)治疗的患者的癌症筛查参与率:我们对 1252 名精神疾病患者进行了回顾性队列研究,检索了他们截至 2019 年 12 月的电子健康记录。研究评估了乳腺癌、宫颈癌和结直肠癌筛查项目的参与率。我们探讨了筛查项目参与者与非参与者在人口统计学和临床特征方面的差异:结果:与的里雅斯特的普通人群相比,患有精神疾病的患者参与筛查的比例较低。乳腺癌和宫颈癌的筛查率大约低三分之一,而大肠癌的筛查率则低一半。精神病诊断影响了乳腺癌筛查的参与率,焦虑症患者比精神分裂症或成人人格和行为障碍患者更有可能参与筛查。年龄、国籍、婚姻状况、就业状况和居住环境都会影响宫颈癌筛查的坚持率。较常参加筛查的人年龄在 35-54 岁之间,意大利国籍,有工作,有自己的家庭。相反,不参加筛查的人更有可能是丧偶或未婚。最后,在符合大肠癌筛查条件的患者中,参加筛查的人更有可能有自己的家庭,并被诊断出患有情感障碍或焦虑症,而不参加筛查的人则更多是丧偶,被诊断出患有精神分裂症或成人人格和行为障碍的频率也更高:结论:心理健康服务应注重提高患者对癌症筛查项目的参与度,以改善他们的身体健康并降低死亡率。这种干预措施有助于促进公平获得预防性保健服务,缩小心理健康服务与普通医疗服务之间的差距。
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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