IntroductionReferrals to psychiatry from primary care has increased in recent years. This can be the result of the global economic situation and represents a problem for specialized care, because patients can’t usually be correctly attended to. On the other hand, patients who don’t come to visits make up other important issues that we must analyze.ObjectivesTo analyze the differences between patients who did not come for their first visit and those who did in order to try to describe variables that could be affecting them.MethodsThis is an epidemiological, analytic, prospective study of patients referred to our department. The following variables were collected: (1) referral protocol, (2) reason, (3) demographic data, (4) attendance to appointment, (5) diagnosis impression and (6) destination of referral. The SPSS 19.0 was used to analyze the data.ResultsWe studied a total of 1.048 patients for 15 months, of which 20.6% did not come to their first visit. A statistically significant relationship between attendance and gender, year of the appointment, adequate demand or not, previous follow-up and diagnosis was found (Chi2). However, if a logistic regression was carried out, only the adequacy of the demand was included in the model.ConclusionsCoordination with general practitioners is essential to improve referrals and, most importantly, the attention to patients. If we can agree on the referral criteria, a better-personalized assistance can be offered to patients who have more difficulties in coming (because of characteristics of illness, place of residence, and other variables).Disclosure of interestThe authors have not supplied their declaration of competing interest.
Objective: To evaluate the relationships between ''parental rearing styles'' and ''attitude towards change'' in eating disorders patients according to DSM-IV-TR (American Psychiatric Association -APA-, 1994). Methods: A total of 166 patients was evaluated: 66 (39.8%) patients met criteria for bulimia nervosa, 49 (29.5%) patients met criteria for anorexia nervosa and 51 (30.7%) patients met criteria for an eating disorder not otherwise specified. All the patients completed a set of self-administered questionnaires to evaluate their family relationships (APGAR familiar), their memories of parental upbringing and their attitudes towards change (ACTA) after one year treatment. Results: A multiple regression analysis was performed. ''overprotection'' perceived during childhood was related to higher scores in ''pre-contemplation'' and lower scores in ''action'' and ''maintenance''. On the other hand, ''rejection'' during upbringing was related to higher scores in ''pre-contemplation'' at one year follow-up regardless of family dysfunction. Finally, ''warm'' perceived was related to higher scores in ''action''. Conclusions: These results show the relevance of breeding in treatment important aspects in eating disorders patients.
IntroductionThe first visit is crucial, since it is where a treatment plan is selected and the decision to refer or not the patient to a specialized unit is made. Mental care could be improved through the centralization of demand and the identification of patients’ and psychiatrists’ expectations.ObjectivesAnalyzing patients’ and psychiatrists’ demands and expectations in the first visit to use them as a starting point for the planning and coordination of treatment actions.AimsTo design a record system of the Minimum Basic Data Set of the Centralized Department of our Unit.MethodsThis is an epidemiological, observational, prospective study of patients referred to our department. Following variables were collected:– referral origin;– reason;– demographic data;– diagnosis impression;– destination of referral.The Statistical Package for Social Science version 19.0 was used to analyze the data.ResultsTable 1.ConclusionsThe data obtained are consistent with those reported in the literature for this population. The high rate of wrong referrals reveals the necessity of improving coordination and establishing specific referral criteria. Some initiatives have been designed and will be prospectively evaluated in the future.Table 1Disclosure of interestThe authors have not supplied their declaration of competing interest.
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