Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2009-11-25
pubmed:abstractText
Our objective was to study the clinical and management differences between primary and interferon (IFN)-induced depressive disorders in malignant melanoma patients visited by the consultation-liaison team during a two year period. This was a prospective study of 31 patients with malignant melanoma treated with IFN-alpha in a general teaching hospital. Clinical, psychiatric variables and DSM-IV-TR diagnosis were analyzed. The Clinical Global Impression Severity (CGI-S) and Improvement (CGI-I) of illness scales were administered at the time of consultation and at the end of hospitalization. The main diagnoses were depressive adjustment disorders in 14 patients (45.16%) followed by interferon-induced depressive disorders in 6 (19.36%). In patients with adjustment disorders, melanoma stage was significantly more advanced than in those with interferon-induced depressive disorder (p = 0.019). The latter scored higher in the CGI-S scale (p = 0.044) and in the CGI-I scale (p = 0.029). The interferon-induced depressive disorders, except one who required a reduction of IFN-alpha-2b dose, were successfully treated with antidepressant drugs. Clinical management and antidepressant treatment allowed the continuation of interferon therapy in malignant melanoma patients. Interferon-induced depression occurred in a few patients, which in turn were the most severe. Adjustment depressive disorder was the most common psychiatric diagnosis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1167-1122
pubmed:author
pubmed:issnType
Print
pubmed:volume
19
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
611-5
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:19709980-Adult, pubmed-meshheading:19709980-Aged, pubmed-meshheading:19709980-Antineoplastic Agents, pubmed-meshheading:19709980-Anxiety, pubmed-meshheading:19709980-Depression, pubmed-meshheading:19709980-Depressive Disorder, pubmed-meshheading:19709980-Female, pubmed-meshheading:19709980-Hospitals, Teaching, pubmed-meshheading:19709980-Humans, pubmed-meshheading:19709980-Inpatients, pubmed-meshheading:19709980-Interferon-alpha, pubmed-meshheading:19709980-Male, pubmed-meshheading:19709980-Melanoma, pubmed-meshheading:19709980-Mental Disorders, pubmed-meshheading:19709980-Middle Aged, pubmed-meshheading:19709980-Prospective Studies, pubmed-meshheading:19709980-Psychiatric Status Rating Scales, pubmed-meshheading:19709980-Psychotropic Drugs, pubmed-meshheading:19709980-Questionnaires, pubmed-meshheading:19709980-Recombinant Proteins, pubmed-meshheading:19709980-Severity of Illness Index, pubmed-meshheading:19709980-Skin Neoplasms, pubmed-meshheading:19709980-Treatment Outcome
pubmed:articleTitle
Depression in hospitalized patients with malignant melanoma treated with interferon-alpha-2b: primary to induced disorders.
pubmed:affiliation
Unitat de Recerca Farmacològica, Institut Municipal d'Investigació Mèdica, Doctor Aiguader 88, E-08003, Barcelona, Spain. rnavines@hotmail.com
pubmed:publicationType
Journal Article