정신과 의뢰에 대한 임상적 연구

• 영문명: A CLINICAL STUDY ON PSYCHIATRIC CONSULTATION
• 발행기관: 대한신경정신의학회
• 저자명: 민성길 조강주
• 간행물 정보: 『신경정신의학』제16권 제2호, 223~228쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1977.05.30

영문 초록

A clinical study was done with 307 inpatients (1.84% in all patients) referred for psychiatric consultation in Yonsei Medical Center for last one year. Referral was common in 20—49 year age group and male to female ratio was almost equal. Most of referrals came from the department of internal medicine (table 1). The reasons of referrals were general evaluation and managment of the patients. Primary diagnosis before consulation were mostly physical ones, and drug intoxication due to suicidal attempt, G-I disorders, convulsive disorders, heart disorders and head traumas were the major problems. But psychiatrist made psychiatric diagnosis in 95.6%, and depre-ssive neurosis, hysterical neurosis, involutional melancholia and psychosomatic disorders were most common (table 2), and thought physical diseases concurrent with psychiatric diseases in 66- 3% (table 3). In general, depression was found to be an important and most common psychiatric problem complicated with physical diseases. Psychiatric problems were commonly correlated with the disorders of G-I, nervous and cardiovascular systems and especially the depression with G-I disorders. The data appeared to reflect the general tendency of physicians not to accept the opinions of psychiatrists on the diagnosis and management except psychotropic medication. Psychiatric consultation liaison service is important in collaboration between psychiatry and medicine in comprehensive patient care and teaching the psychosomatic aspects of the diseases.

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