Psychiatric morbidity among medical out-patients in Spain: A case for new methods of classification

Lobò, Antonio; Pérez‐Echeverría, M. J.; Artal, J.; Rubio, Luis Cifuentes; Escolar, Ma.Victoria; González-Torrecillas, José L.; Morera, Blanca; Día, José Luis; Miranda, Miguel

doi:10.1016/0022-3999(88)90018-9

Cited by 9 publications

(2 citation statements)

References 15 publications

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“…Our findings have important health implications and are in accordance with those obtained by other authors in different general practice settings and general hospitals' (9,10,15,16). However, this method has not previously been applied to Finnish emergency room patients.…”

Section: Discussionsupporting

confidence: 93%

Psychiatric morbidity among emergency room patients

Viinamäki

Lehtonen

Väänänen

et al. 1991

Nordisk Psykiatrisk Tidsskrift

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K, Niskanen L. Psychiatric morbidity among emergency room patients. Nord Psykiatr Tidsskr 1991;45:463-466. Oslo. ISSN 0029-1455. Attempts to assess psychiatric morbidity in the medical setting have increased, but patients usually remain at the "reason for visit" level of diagnosis. We studied 218 emergency room patients (109 men, 109 women) treated at Kuopio University Hospital. Psychiatric disturbance was evaluated with a questionnaire (GHQ-36) completed by the patients themselves. Forty-eight per cent of the men (mean, 60 years) and 55% of the women (mean, 48 years) scored over 5 out of 36 in General Health Questionnaire and thus could be classified as probable psychiatric cases. No correlation between age and total score was found. The casesness percentage was highest in patients attending gynecology (63%) and general medicine (59%). Our results have important health implications and highlight the need for more than occasional consultation efforts. 0 Emergency department, General hospiral, Psychiatric morbidity. Nord J Psychiatry Downloaded from informahealthcare.com by McMaster University on 12/25/14 For personal use only.

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Section: Discussionsupporting

confidence: 93%

Psychiatric morbidity among emergency room patients

Viinamäki

Lehtonen

Väänänen

et al. 1991

Nordisk Psykiatrisk Tidsskrift

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“…A large proportion of patients seeking medical help have mental disorders with or without associated physical disorders. It has been estimated that approximately 2 6 5 0 % of patients attend the general hospital or primary health care facilities be-cause of the need for psychologic help (4)(5)(6). However, there are no reports on psychiatric morbidity in physical medicine patients referred to a department of physical medicine and rehabilitation.…”

mentioning

confidence: 99%

Prevalence of psychiatric morbidity and associated factors among physical medicine department outpatients

Viinamki

Tenhonen

Niskanen

1994

Nordic Journal of Psychiatry

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HEIMO VIINAMAKI, SEPPO TENHONEN, LEO NISKANEN Viinamaki H, Tenhonen S , Niskanen L. Prevalence of psychiatric morbidity and associated factors among physical medicine department outpatients. Nord J Psychiatry 1994;48:87-91. Oslo. ISSN 0803-9488. The aim of the investigation was to study psychiatric morbidity and associated factors in patients visiting a general hospital physical medicine and rehabilitation outpatient department. Psychiatric morbidity was assessed by means of 12-item version of the General Health Questionnaire (GHQ). The presence of psychosomatic symptoms was assessed with a 13item version developed by Derogatis (PS score). The reported pain was assessed by means of a pain figure. The physiatric diagnosis, sociodemographic variables, financial status, and social support were assessed. A total of 213 consecutive patients were screened. The frequency of psychiatric morbidity was 64%. The highest frequency (70%) was found in patients with physiatric diagnosis related to the back. In general, patients with psychiatric morbidity (GHQ score >2) did not show statistically significant differences with regard to age, sex, marital status, and education from the subjects without psychiatric morbidity. Patients with psychiatric morbidity experienced their financial status as poor more often than the rest @<0.001), but in social support received no difference was found between the groups. Psychosomatic symptoms were more frequent in patients with psychiatric morbidity @<0.001), and they scored higher in the pain figure test @<0.05). According to our results psychiatric morbidity is surprisingly common in physical medicine patients. To gain a more comprehensive view of the typical physical medicine patient, factors related to mental well-being should be taken into account, as they seem to markedly modify the clinical presentation of this patient category. 0 General hospital. Pain figure. Physical medicine and rehabilitation, Psychiatric morbidity, Psychosomatic symptoms. Patients and methodsThe survey took place between the beginning of April and the end of August 1992 in Mikkeli Central Hospital, which serves the inhabitants as the only communal referral-based hospital for specialized physical medicine care. Nord J Psychiatry Downloaded from informahealthcare.com by University of Calgary on 02/05/15 For personal use only. Nord J Psychiatry Downloaded from informahealthcare.com by University of Calgary on 02/05/15 For personal use only. Ps)diiatr-ir moi-bidiry aiiiorig medical patients 9 1 Nord J Psychiatry Downloaded from informahealthcare.com by University of Calgary on 02/05/15 For personal use only.

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Psychiatric morbidity among residents in a home for the elderly in spain: Prevalence of disorder and validity of screening

Lobo

Ventura²,

Marco³

1990

Int J Geriat Psychiatry

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SUMMARYAll residents in a home for elderly vcilidos (able) in Spain were interviewed and 101 completed the study. Non-medical interviewers administered the GHQ-28 items and either Zung's Self-Rating Depression Scale (SDS) (N=69) or the Geriatric Depression Rating Scale (GDS) (N=3 1). The residents were also examined blind by psychiatrists standaidized in the use of the Clinical Interview Scale (CIS), who also administered the 'Mini-Examen Cognoscitivo', the Spanish version of the Mini-Mental State Examination (MMSE), and diagnosed the identified 'cases' according to ICD-9 criteria. Twenty-one residents (20.8%) were considered to be 'cases' on the basis of the CIS; 14 (13.9%) were diagnosed as depressed and only four (4%) were diagnosed as being demented, although the mean age of the sample was 81.9 years (SD=5.6). Most 'cases' were of mild intensity and the differences with 'non-cases' seemed quantitative rather than qualitative. The GHQ-28 correctly identified 81.5% of 'cases' with a cutting score of 5 / 6 (sensitivity 70%, specificity 84.4%) and 77.4% of 'cases' with a cutting score of 4 / 5 (sensitivity 85%, specificity 75.3%), suggesting a discriminativs power almost as good as in adult individuals. In the pilot study, the GDS performed better than the SDS as a screening instrument. The addition of the 'Mini-Examen' would have improved the sensitivity of both the GHQ-28 items and the SDS.

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Psychiatric morbidity among medical out-patients in Spain: A case for new methods of classification

Cited by 9 publications

References 15 publications

Psychiatric morbidity among emergency room patients

Psychiatric morbidity among emergency room patients

Prevalence of psychiatric morbidity and associated factors among physical medicine department outpatients

Psychiatric morbidity among residents in a home for the elderly in spain: Prevalence of disorder and validity of screening

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