Simonds J F
South Med J. 1977 Aug;70(8):980-4. doi: 10.1097/00007611-197708000-00024.
The investigator, a child psychiatry consultant for a pediatric service, studied 112 consecutive consultations, categorizing the presenting psychiatric problems, mental status, psychiatric diagnoses, final physical diagnoses, and psychiatric recommendations. The 112 patients represented 3.4% of all pediatric patients in the same age range admitted to the hospital. Girls comprised 59% of the sample studied. The most common presenting problems were unexplained physical symptoms, while the most frequent physical diagnoses were seizure disorder and diabetes. Psychiatric diagnoses were made for 82% of the patients seen; the most common diagnosis was "reactive" disorder. Specific recommendations for either inpatient or outpatient psychiatric care were made for 42 patients, of whom 23 were known to have followed through with the recommendations. However, most recommendations involved technics that could be applied by the primary care physician, eg, advice to parents, counseling the child, liaison with schools, direction of hospital staff.
这位研究者是儿科服务的儿童精神病学顾问，他对112例连续的会诊进行了研究，对呈现的精神问题、精神状态、精神诊断、最终身体诊断以及精神科建议进行了分类。这112名患者占同年龄段入院儿科患者总数的3.4%。所研究样本中女孩占59%。最常见的呈现问题是无法解释的身体症状，而最常见的身体诊断是癫痫症和糖尿病。82%看过病的患者做出了精神科诊断；最常见的诊断是“反应性”障碍。对42名患者提出了住院或门诊精神科护理的具体建议，其中23名已知遵循了这些建议。然而，大多数建议涉及初级保健医生可以应用的技术，例如给家长的建议、对孩子的咨询、与学校的联络、指导医院工作人员。
