Kuhn W F, Bell R A, Seligson D, Laufer S T, Lindner J E
Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, KY 40205.
Int J Psychiatry Med. 1988;18(4):375-82. doi: 10.2190/yqg1-7xa5-fd3t-9an6.
One hundred and one consecutively admitted orthopedic patients with leg fractures participated in a study assessing psychiatric morbidity using the BSI- and SMAST-questionnaires. Patients identified as probable cases of psychopathology were then psychiatrically evaluated to establish diagnoses. It was determined that about 70 percent of the sample met the criteria for psychiatric diagnoses, with substance abuse being the leading group of disorders. The psychiatric consultation-liaison and orthopedic services remained blind to the research activities and continued to refer patients for psychiatric consultation when clinically necessary. Only six (5.9%) of the patients also participating in the study were referred for clinical consultation, and these appeared to have very obvious symptoms or complaints. The large majority of emotional distress remained unnoticed.
101名连续收治的腿部骨折骨科患者参与了一项使用症状自评量表（BSI）和简短密歇根酒精成瘾筛查测试（SMAST）问卷评估精神疾病发病率的研究。被确定为可能患有精神病理学疾病的患者随后接受了精神科评估以确诊。结果发现，约70%的样本符合精神科诊断标准，药物滥用是主要的疾病类型。精神科会诊联络服务和骨科服务对研究活动不知情，在临床需要时继续将患者转介至精神科会诊。参与该研究的患者中只有6名（5.9%）被转介至临床会诊，这些患者似乎有非常明显的症状或主诉。绝大多数情绪困扰仍未被发现。
