Psychiatric Disorders in Survivors of Pediatric Acute Lymphoblastic Leukemia in India.
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OBJECTIVES: To determine the prevalence of psychiatric morbidities in survivors of pediatric acute lymphoblastic leukemia (ALL) and to identify any risk factors. METHODS: Survivors of ALL, who had completed their treatment, atleast two or more years ago and now were 6-18 y old were enrolled on the study. The Mini International Neuropsychiatric Interview (M.I.N.I. KID) screening test for psychiatric problems was applied to all. If they had screening results positive for a particular disorder then the M.I.N.I KID standard test for that particular disorder was applied. The treatment details were noted from the records. RESULTS: Eighty-nine survivors of ALL were enrolled. Of these, 19 (21.3%) had a psychiatric diagnosis. On multivariate analysis seizures, fears, stress and hospitalizations during treatment increased the risk of adverse psychiatric outcomes in survivorship. CONCLUSIONS: The cancer survivors can have psychiatric problems even after completion of treatment and many easily modifiable factors contribute to the same.