Gastroenterologists’ Perceptions of Need and Availability of Psychiatric Services for Patients With Hepatitis C

Gleason, Ondria C.; Fucci, John C.; Yates, William R.

doi:10.1176/appi.psy.49.2.132

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…In routine practice, although gastroenterologists might be aware of the need for psychiatric services for their patients, only a minority of them eventually refer them. This might be due to their reluctance to provide medical treatment for their patients with current, or past psychiatric problems, because of fears of exacerbating these conditions (35).…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal symptoms in psychiatry: comparison of direct applications and referrals

Batmaz¹,

Yıldız²,

Songur³

2016

Dusunen Adam

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Gastrointestinal symptoms in psychiatry: comparison of direct applications and referralsObjective: Clinical experience and observations suggest that there are some discrepancies between patients who directly apply to psychiatry clinic, and who are referred from gastroenterology clinic to psychiatry clinic. Thus, we aimed to investigate differences related to the demographic and clinical characteristics of these patients. Method: The study included 115 consecutive patients aged between 18-65 years. Sixty-one of the patients applied directly to the psychiatry clinic, and 54 patients were referred for consultation to the psychiatry clinic. Primary gastrointestinal complaints, psychiatric diagnoses and personality features were recorded on the scoiodemographic data form, and the severity of psychiatric disorders were assessed by the Clinical Global Impression Scale -Severity Subscale. Results: Patients who directly applied to psychiatry clinic were more likely to be female, older, and married. They attributed their gastrointestinal symptoms also more likely to be of psychogenic origin. Patients who directly applied to psychiatry clinic suffered more likely from a sense of fullness/abdominal tension, while patients who were referred to psychiatry clinic more frequently complained of bloating, abdominal pain, and constipation. Patients who directly applied to psychiatry clinic were more frequently diagnosed with depressive disorders, trauma related disorders, and personality disorders, whereas referrals were more frequently diagnosed with psychotic disorders. Directly admitted patients were also more likely to exhibit impulsivity as a personality feature. Conclusion: Patients with gastrointestinal symptoms who directly presented to psychiatry differed from those who were referred from gastroenterology clinics on some of their demographic aspects, primary psychiatric diagnoses and personality traits.

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Section: Discussionmentioning

confidence: 99%

Gastrointestinal symptoms in psychiatry: comparison of direct applications and referrals

Batmaz¹,

Yıldız²,

Songur³

2016

Dusunen Adam

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Help-seeking and coping with the psychosocial burden of chronic hepatitis C: A qualitative study of patient, hepatologist, and counsellor perspectives

Stewart

Mikocka‐Walus

Harley

et al. 2012

International Journal of Nursing Studies

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Models of Care for Co-occurring Mental and Medical Disorders

Meyer

Peteet

Joseph

2009

Harvard Review of Psychiatry

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In this article we review practice models for treating common mental disorders in primary care. Novel treatment approaches by primary care providers and specialty providers, including collaborative care and telepsychiatric models, show considerable promise. An understanding of remaining barriers to improved care suggests several possible solutions and future directions for outpatient psychosomatic medicine.

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Gastroenterologists’ Perceptions of Need and Availability of Psychiatric Services for Patients With Hepatitis C

Cited by 4 publications

References 10 publications

Gastrointestinal symptoms in psychiatry: comparison of direct applications and referrals

Gastrointestinal symptoms in psychiatry: comparison of direct applications and referrals

Help-seeking and coping with the psychosocial burden of chronic hepatitis C: A qualitative study of patient, hepatologist, and counsellor perspectives

Models of Care for Co-occurring Mental and Medical Disorders

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