Psychiatric morbidity and consultation trends in pediatric hematology–oncology inpatients
Öz
Purpose: This study aimed to evaluate psychiatric morbidity and consultation patterns among hospitalized pediatric hematology-oncology patients and to identify clinical factors associated with psychiatric diagnoses.
Materials and Methods: This retrospective cross-sectional chart review was conducted at the pediatric hematology-oncology inpatient service of Adana City Training and Research Hospital. Medical records of patients aged 0–18 years who were hospitalized in the pediatric hematology-oncology service and received a child and adolescent psychiatry consultation between September 2022 and September 2025 were reviewed. Psychiatric diagnoses were established according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
Results: A total of 126 unique pediatric hematology-oncology inpatients were included (mean age: 10.9 ± 4.6 years; 58.7% male). A psychiatric diagnosis was established in 76 patients (60.3%). The most common diagnoses were adjustment disorder in 26 patients (20.6%), major depressive disorder in 21 (16.7%), and anxiety disorders in 16 (12.7%). In multivariable analysis, female sex (OR: 3.23, 95% CI: 1.36–7.68), metastatic disease (OR: 2.63, 95% CI: 1.07–6.49), and low treatment adherence (OR: 6.42, 95% CI: 1.96–21.03) were independently associated with psychiatric diagnosis.
Conclusion: Psychiatric morbidity is highly prevalent among hospitalized pediatric hematology-oncology patients requiring psychiatric consultation. Female sex, metastatic disease, and poor adherence to oncological treatment were identified as independent risk factors for psychiatric diagnosis.
Anahtar Kelimeler
Pediatric oncology, psychiatric consultation, psychosocial care, treatment adherence, metastatic disease, child and adolescent psychiatry
Kaynakça
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