{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:10:00Z","timestamp":1789171800209,"version":"build-2803163510"},"reference-count":49,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University  \u201cDun\u0103rea de Jos\u201d, Galati, Romania"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diseases"],"abstract":"<jats:p>Background\/Objectives: Psychiatric morbidity is frequent in oncology, yet prevalence and correlates differ across tumour sites. Urogenital cancers, in particular, involve psychosocial stressors related to sexuality, fertility, continence, and body image, which may intensify anxiety and depression. This study aimed to estimate the proportion of psychiatric morbidity among psychiatry-assessed oncology inpatients in a real-world hospital setting to compare urogenital with non-urogenital malignancies and to examine clinical correlates and hospitalisation outcomes. Methods: We conducted a retrospective analysis of 174 oncology inpatients who were evaluated by liaison psychiatry and completed the Hospital Anxiety and Depression Scale (HADS) during admission to a tertiary hospital in Gala\u021bi, Romania, between 2019 and 2022. All patients completed the Hospital Anxiety and Depression Scale (HADS) and underwent liaison psychiatry evaluation. Mixed anxiety\u2013depressive disorder (ICD-10 F41.2) was the primary psychiatric outcome. Demographic, clinical, and functional data\u2014including Eastern Cooperative Oncology Group (ECOG) performance status\u2014were extracted from medical records. Comparative and multivariable analyses were performed to identify predictors of severe depressive symptoms (primary outcome, HADS-D \u2265 11) and to explore associations with length of stay and costs. Results: Overall, 59% of patients had elevated HADS-Anxiety and 62% elevated HADS-Depression, while 40% received a psychiatric diagnosis. Mixed anxiety\u2013depressive disorder predominated, especially in cervical (95%), bladder (100%), and prostate (\u224870\u201375%) cancers. Urogenital cancers showed significantly higher rates of anxiety\/depression than non-urogenital cancers (85% vs. 46%, p &lt; 0.01). Poorer ECOG status independently predicted severe depressive symptoms (OR 3.6, 95% CI 2.1\u20136.2, p &lt; 0.001). Psychiatric morbidity was associated with a trend toward longer LOS (median 12 vs. 9 days, p \u2248 0.08) and \u224810% higher hospital costs. Conclusions: Anxiety and depression were highly frequent among psychiatry-assessed oncology inpatients, particularly in urogenital malignancies. Functional impairment strongly correlates with psychiatric morbidity. These findings underscore the need for systematic screening and risk-stratified psycho-oncologic interventions to improve patient outcomes and resource utilisation.<\/jats:p>","DOI":"10.3390\/diseases13110350","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T17:02:01Z","timestamp":1761670921000},"page":"350","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Proportion and Correlates of Psychiatric Morbidity Among Psychiatry-Assessed Oncology Inpatients"],"prefix":"10.3390","volume":"13","author":[{"given":"Ana-Maria","family":"Paslaru","sequence":"first","affiliation":[{"name":"Doctoral School of Biomedical Sciences, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"},{"name":"Medical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8007-9120","authenticated-orcid":false,"given":"Iulian","family":"Bounegru","sequence":"additional","affiliation":[{"name":"Competences Centre, Interfaces-Tribocorrosion-Electrochemical Systems, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2710-7284","authenticated-orcid":false,"given":"Catalin","family":"Plesea-Condratovici","sequence":"additional","affiliation":[{"name":"Morphological and Functional Sciences Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1077-4196","authenticated-orcid":false,"given":"Moroianu","family":"Marius","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0740-3702","authenticated-orcid":false,"given":"Anamaria","family":"Ciubar\u0103","sequence":"additional","affiliation":[{"name":"Medical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"National Comprehensive Cancer Network Distress Management (2003). 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