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综合医院临床实践中的精神科问题:非精神科临床医生的调查。

Psychiatric aspects of clinical practice in general hospitals: a survey of non-psychiatric clinicians.

机构信息

R.K. CHADDA, M.D., Associate Professor of Psychiatry, Institute of Human Behaviour and Allied Sciences, Shahdara, P.O. Jhilmil, Delhi -110 095.

出版信息

Indian J Psychiatry. 1996 Apr;38(2):86-92.

Abstract

The present work was carried out to study the awareness of non-psychiatric clinicians working in a teaching general hospital about the frequency of psychiatric morbidity in their clinical practice, their utilization of psychiatric consultation services, and opinion about utility of liaison psychiatry in general hospitals. A substantial proportion of doctors underestimated the psychiatric morbidity especially about unexplained physical symptoms and specific depressive symptoms in their patients. Psychiatric consultation services were not sufficiently utilised by a large number of clinicians. Most ofthemfelt the need to improve upon undergraduate medical education in psychiatry in India as well as a desire to have consultation - liaison psychiatric units in India.

摘要

本研究旨在调查教学医院非精神科临床医生对其临床实践中心理疾病发病率的认识、对精神科会诊服务的利用情况,以及对综合医院联络精神病学的看法。相当一部分医生低估了患者的心理疾病发病率,尤其是对无法解释的躯体症状和特定抑郁症状的认识。大量临床医生并未充分利用精神科会诊服务。他们大多认为有必要改善印度的精神病学本科医学教育,希望在印度设立会诊-联络精神病学单位。

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本文引用的文献

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Clinical and cost benefits of liaison psychiatry.联络精神医学的临床及成本效益
Am J Psychiatry. 1981 Jun;138(6):790-3. doi: 10.1176/ajp.138.6.790.
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Hospital doctors' management of psychological problems.医院医生对心理问题的管理。
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Somatization: the concept and its clinical application.躯体化:概念及其临床应用
Am J Psychiatry. 1988 Nov;145(11):1358-68. doi: 10.1176/ajp.145.11.1358.

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