Meyer J D, Fink C M
Behavioral Medicine, Skemp Clinic, Ltd., 800 West Avenue So., 54601, La Crosse, Wisconsin.
J Clin Psychol Med Settings. 1995 Dec;2(4):373-86. doi: 10.1007/BF01991683.
Medical disorders among psychiatric patients have frequently been overlooked by all mental health disciplines. These medical conditions have, at times, been later identified as influencing some of the presenting psychological symptoms. Although the relationship between medical factors and psychological symptoms has been recognized and discussed in the literature for several decades, improvement has not been well documented regarding the frequency of recognizing medical factors with psychiatric patients. Little research was found that reviewed the effectiveness of psychologists in recognizing related medical concerns. This study examined the frequency with which a random sampling of psychologists reviewed specific medical factors with their patients during the initial psychological evaluation. The results reveal that many psychologistsare sensitive to the possible influence of medical factors, which is especially important given the increased focus of psychologists as primary care providers and the increasing collaborative practice efforts between medicine and psychology. A summary and discussion of these descriptive results are presented and recommendations are offered.
精神科患者中的躯体疾病常常被所有心理健康学科所忽视。这些躯体状况有时后来被认定为影响了一些所呈现出的心理症状。尽管医学因素与心理症状之间的关系在文献中已被认识和讨论了几十年,但关于识别精神科患者医学因素的频率方面,改善情况并未得到充分记录。几乎没有研究对心理学家识别相关医学问题的有效性进行过综述。本研究调查了在初始心理评估期间,随机抽取的心理学家与患者探讨特定医学因素的频率。结果显示,许多心理学家对医学因素的可能影响很敏感,鉴于心理学家作为初级保健提供者的关注度增加以及医学与心理学之间合作实践的不断努力,这一点尤为重要。本文呈现并讨论了这些描述性结果的总结,并给出了建议。