Clarke M G, Hutchinson R M, Wood J K
J R Soc Med. 1982 Aug;75(8):613-7. doi: 10.1177/014107688207500808.
A psychiatrist's role in the management of patients with malignant blood disorders being treated by clinical haematologists is described. Twenty-seven patients were seen, the majority (21) for an initial assessment only, and many (21) within three months of diagnosis or their death. Seventeen were referred for assessment of abnormal mood or behaviour and the others for a variety of problems which affected their management. A small group (4) had organic psychosyndromes; the majority (15) were suffering from understandable adjustment reactions, with another 5 having morbid neurotic or depressive reactions. Family and hospital factors were important and a description of these is included in an account of the consultation process.
描述了精神科医生在临床血液科医生治疗恶性血液病患者过程中的作用。共诊治了27例患者，大多数（21例）仅进行了初步评估，许多（21例）在诊断后或死亡前三个月内就诊。17例因情绪或行为异常被转诊评估，其他患者则因影响其治疗管理的各种问题前来就诊。一小部分（4例）患有器质性精神综合征；大多数（15例）患有可理解的适应反应，另外5例有病态神经症或抑郁反应。家庭和医院因素很重要，在会诊过程的描述中包含了对这些因素的说明。
