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KMID : 0376119940210010065
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Medical Journal of the Red Cross Hospital
1994 Volume.21 No. 1 p.65 ~ p.74
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A Clinical Study of consulted Medical Inpatients with Neurosis
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Abstract
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We compared the clinical characteristics of two groups, 108 consulted medical inpatients with neurosis and 138 psychiatric inpatients with neurosis, during the period January 1, 1989 to December 31, 1991 at Seoul Red Cross Hospital. The results
show
various clinical differences between two groups.
@ES The results were as follows:
2EN 1) In the mean age, medical inpatents were older than psychiatric inpatients. Especially, in the aged patients over 60 years, medical inpatients outnumbered psychiatric inpatients. In the cases of sex, female patients outnumbered male
patients.
In
the eductional level, both group had low educational level.
2) As to the symptom duration, medical inpatients usually had duration under one month, psychiatric inpatients were common over one year.
3) Most of the patients admitted via outpatient department, medical inpatients outnumbered psychiatric inpatients in the case of via emergency room.
4) The mean duration of hospitalization of medical inpatients were significantly longer than that of psychiatric inpatients.
5) The main organic diagnosis in medical inpatient group was gastrointestinal disorder. After psychiatric consulatation, the number of cases of psychiatric diagnosis was significantly increased in medical inpatient group.
6) The main psychiatric diagnosis in both group was depressive disorder, followed by somatoform disorder and anxuety disorder. Somatization disorder was more common in medical inpatient group than psychiatirc inpatient group. While conversion
disorder
was more frequent in psychiatic inpatients group.
7) Medical inpatients had more physical complaints than those of psychiatric inpatients. The main pysical symptom in medical inpatient group was gastrointestinal symptom. But, the main physical symptom in psychiatric inpatient group was head and
central nervous system symptoms.
8) The major reason of psychiatric consultation was subjective physical symptoms which were not related to conformed medical illness.
9) Before psychiatric consultation, 78.7% of medical inpatients were prescribed psychotropic drugs.
10) As to the concordance rates with the consultant's recommandation, those of psychotropic drug(93.2%), diagnostic procedure(100%), and diagnostic presentation(65.7%) were relatively high, but those of transfer(540%) and outpatient department
follow-up(43.8%) were relatively low.
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KEYWORD
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