Ozkan S, Yücel B, Turgay M, Gürel Y
Istanbul University, Faculty of Medicine, Department of Psychiatry, Turkey.
Gen Hosp Psychiatry. 1995 May;17(3):216-23. doi: 10.1016/0163-8343(95)00001-8.
A clinical analysis of the psychiatric referrals (N = 889) during 1989-1991 is presented. The most prevalent psychiatric syndromes seen in both inpatients and outpatients are compared with reference to those areas of psychopathology that are less frequently identified by nonpsychiatrist physicians. The distribution of psychiatric referrals according to the various clinics in order of frequency was as follows: internal medicine, surgery, dermatology, and neurology. The most frequent reasons for consultation requests were (in order of frequency) the referring physician's difficulty in making a diagnosis; and patient anxiety, depression, adjustment problems, and past psychiatric illness in the history. Depressive illness was the most prevalent psychiatric disorder among both inpatient and outpatient referrals. However, the frequency of alcohol and substance abuse disorder in the inpatient population was only 3.17% and organic brain syndrome was the least frequently recognized psychiatric syndrome by the other clinicians. In this report, the clinical activities of the Liaison Psychiatry Unit of the Psychiatry Department in the Istanbul Medical Faculty are presented. The major problem areas and clinical training objectives of the Consultation-Liaison Psychiatry Unit are discussed.
本文呈现了1989 - 1991年间889例精神科转诊病例的临床分析。将住院患者和门诊患者中最常见的精神综合征与非精神科医生较少识别的精神病理学领域进行了比较。精神科转诊病例按各科室的分布频率依次为：内科、外科、皮肤科和神经科。会诊请求的最常见原因（按频率排序）是转诊医生难以做出诊断；以及患者焦虑、抑郁、适应问题和既往精神病史。抑郁性疾病是住院和门诊转诊患者中最常见的精神障碍。然而，住院患者中酒精和物质滥用障碍的发生率仅为3.17%，而器质性脑综合征是其他临床医生最少识别的精神综合征。本报告介绍了伊斯坦布尔医学院精神病学系联络精神科的临床活动。讨论了会诊 - 联络精神科的主要问题领域和临床培训目标。
