Psychiatric illness at a medical and a surgical outpatient clinic

Culpan, Roger; Davies, Bronwyn

doi:10.1016/s0010-440x(60)80020-x

Cited by 36 publications

(9 citation statements)

References 14 publications

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“…The sex incidence of twice as many females is identical in both anxiety states and depression and is similar to that found by Kellner (1965) for neurosis in general practice, and Culpan et al (1960) in medical outpatients. The anxiety states showed a fairly even age distribution (Table 2), but the depressions gave a peak in the 40s with a large preponderance of the reactive type.…”

Section: Discussionsupporting

confidence: 87%

“…In gynaecological clinics Culpan et al (1960) found over 50% of patients had emotional problems, although they did not confine themselves to non-organic cases. The large discrepancy between surgical and medical clinics is interesting and the reason is not immediately obvious.…”

Section: Discussionmentioning

confidence: 90%

“…In surgical clinics, Bryson (1945) found a comparable incidence of about 7 %, while Culpan et al (1960) found 5%. In gynaecological clinics Culpan et al (1960) found over 50% of patients had emotional problems, although they did not confine themselves to non-organic cases.…”

Section: Discussionmentioning

confidence: 98%

“…Several studies have concentrated on the medical outpatient population (Roberts & Morton, 1952;Culpan, Davies & Oppenheimer, 1960;Sainsbury, 1960;Mannucci, Friedman & Kaufman, 1961;Stoeckle, Zola & Davidson, 1962;Davies, 1964;Maclay, 1965) while others have demonstrated a similar problem in surgical outpatients (Zwerling et al, 1955;Culpan et al, 1960), in gynaecological clinics (Bryson, 1945;Morris & O'Neill, 1958;Culpan et al, 1960), and in a casualty department (Mestitz, 1957) while Priest (1962) covered this particular problem in the course of a large (1000 cases) survey of outpatients in general. The incidence found in this study (29-4 %), is very close to the average (27-3 %) in eleven different surveys of medical outpatients reviewed by Davies (1964).…”

Section: Discussionmentioning

confidence: 99%

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Psychological illness in medical outpatients

Taylor

1969

Postgraduate Medical Journal

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Psychological illness in medical outpatients

Taylor

1969

Postgraduate Medical Journal

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“…Estimates of the prevalence of psychiatric morbidity in medical outpatient clinics vary widely, i.e. from approximately 50-80% (1,3,4,6,7,8,11,13,14,15). In a survey of patients attending the General Outpatient department of the Mount Sinai Hospital of New York for ten years or longer, psychiatric disorder could be diagnosed in 73.5% (12).…”

mentioning

confidence: 99%

Consultation and Evaluation

Ra²,

1969

Canadian Psychiatric Association Journal

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This paper describes the experience of providing on-the-spot psychiatric consultations to medical and surgical clinics. Data on the first 100 referred patients are presented, patterns of referral and outcome of the consultations discussed. The following postulates are offered. The presence of psychiatric consultants in the medical and surgical clinics is desirable in the interest of more efficient care of patients with psychiatric disorders, who reportedly comprise at least half of clinic populations. The aim of the consultant in this setting should be to facilitate better management of psychiatric problems by the non-psychiatrists and to prevent, as far as possible, automatic and often belated, referrals to the psychiatric clinic. Proper use of psychiatric consultants should be stressed to the medical students and residents. More attention should be devoted to the improvement of the techniques of psychiatric consultations to increase their still inadequate efficacy. Consultants should be members of an organized pyschiatric consultation service which would ensure their optimum performance. We predict that the future introduction of comprehensive medical care will make such a service an economic necessity in every general hospital.

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Somatization Disorder

Quill¹

1985

JAMA

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Patients with somatization disorders are frequently unrecognized and misdiagnosed. The diagnosis depends on recognizing a long-standing pattern of seeking medical intervention for vague, multisystemic symptoms, often without clear physical cause. These patients use symptoms as a way to communicate, express emotion, and be taken care of. Instead of recognizing the disorder and exploring psychosocial contributors to illness, nonpsychiatric physicians tend to repeatedly pursue organic possibilities through multiple tests, procedures, medications, and operations. In patients with somatization disorders, the dollar costs of this strategy are only exceeded by its potential for iatrogenic harm. More productive treatment strategies are presented, emphasizing the need for a long-term relationship with a primary care provider who will treat the patient and his symptoms seriously and respectfully but who is not compelled to invasively evaluate all symptoms.

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Psychiatric illness at a medical and a surgical outpatient clinic

Cited by 36 publications

References 14 publications

Psychological illness in medical outpatients

Psychological illness in medical outpatients

Consultation and Evaluation

Somatization Disorder

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