Stewart T D
Am J Psychiatry. 1977 May;134(5):538-41. doi: 10.1176/ajp.134.5.538.
The initial psychiatric evaluation of individuals with spinal cord injuries should focus on the patients' coping strategies; this information is an essential part of the treatment and rehabilitation plan. Psychiatrists can also work effectively with staff members in groups designed to ease the strain of working with severely disabled patients. Such patients may have psychiatric illnesses that are not secondary to the injury; careful selection of antidepressant or antipsychotic medication is essential. The author points out that the psychiatrist has much to offer in the treatment of individuals with spinal cord and other severely disabling injuries.
对脊髓损伤患者的初步精神科评估应聚焦于患者的应对策略；该信息是治疗和康复计划的重要组成部分。精神科医生还可以在旨在缓解与严重残疾患者共事压力的团队中与工作人员有效合作。这类患者可能患有并非由损伤继发的精神疾病；谨慎选择抗抑郁药或抗精神病药物至关重要。作者指出，精神科医生在治疗脊髓损伤及其他严重致残性损伤患者方面能发挥很大作用。
