강남성모병원에서의 정신과 자문경험

• 영문명: Psychiatric Consultation in a General Hospital
• 발행기관: 대한신경정신의학회
• 저자명: 조용찬 이성필 유태열
• 간행물 정보: 『신경정신의학』제23권 제2호, 199~206쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1984.05.31

영문 초록

In an attem pt to evaluate the current trends of psychiatric consultation, authors investigated 142 cases of in patients who were referred for psychiatric consultation at Kangnam St. M ary’s Hospital from April 1, to November 30, 1983. The results were as follows: 1. The m ajority of consultations was requested from the department of internal medicine (67.61%). 2. The overall consultation rate was 1. 71% of total in-patients for the time period. The department of internal medicine ranked highest in the consultation rate (5.12%). 3. jjAtnong the immediate reasons for psychiatric consultation, request for diagnostic evaluation and treatment was 65.63% and request for control of specific symptoms or behavior was 34.37%. 4. Among the somatic symptoms present on consultation, gastrointestinal symptoms and head & CNS symptoms were the most frequent ones. 5. Affective disorders including depression(25.39%), and organic mental disorder (16.58%) were the most frequent diagnostic impressions given by consultant. 6. Regarding the concordance rate with the recommendations given by consultant, absolute concordance with laboratory tests (including psychological tests), drug treatment and psychotherapeutic approach was observed among 62.3996 of total consultees. However, non-concordance was observed among 11.9396. 7. For the discharge diagnosis, psychiatric diagnosis was given to 33.03% among all the consultees. 8. The inter-departmental transfer rate following psychiatric consultation was 21.20%.

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