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Depression in children with cancer.
M Dunitz1, P J Scheer, L Wurst
1Psychosomatic Division, University Childrens Hospital, Graz.
Padiatrie Und Padologie
|January 1, 1991
Summary
This study evaluated depression in 34 pediatric cancer patients, finding a lower occurrence than expected. Standardized psychiatric interviews and rating scales assessed depression during chemotherapy.
Area of Science:
- Pediatric Oncology
- Child Psychiatry
- Clinical Psychology
Background:
- Depression is a significant concern in pediatric cancer patients.
- Standardized assessment tools are crucial for accurate diagnosis and monitoring.
- Previous assumptions about depression rates in this population require empirical validation.
Purpose of the Study:
- To evaluate the occurrence and severity of depression in pediatric cancer patients.
- To monitor depression during induction chemotherapy.
- To compare observed depression rates with initial assumptions.
Main Methods:
- A cohort of 34 children with cancer admitted to a pediatric oncology unit was studied.
- Standardized psychiatric interviews and validated rating scales (Children's Depression Rating Scale, Self-Report Symptom Checklist for Major Depressive Disorders) were employed.
- Children were assessed four times at weekly intervals post-admission and chemotherapy initiation.
Main Results:
- A total of 340 diagnostic ratings were conducted by three trained raters.
- "Clearcut" depression was identified in 6 out of 34 children (approximately 17.6%).
- This represents 25 out of 340 total ratings, indicating a lower prevalence than initially presumed.
Conclusions:
- The occurrence of "clearcut" depression in pediatric cancer patients appears to be lower than commonly assumed.
- Regular, standardized assessments are vital for identifying and managing depression in this vulnerable group.
- Further research is warranted to explore contributing factors and refine intervention strategies.