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KMID : 0378019780210020094
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New Medical Journal
1978 Volume.21 No. 2 p.94 ~ p.98
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Psychiatric Evaluation on the Medical Inpatients Referred for Consultation
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Abstract
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Recent reports have revealed that many patients with psychiatric problems had initially been treated at non-psychiatric departments especially, at the department of internal medicine in the general hospital. This study was designed to establish the diagnostic characteristics of the inpatients of the department of internal medicine through psychiatric consultation. There were 4056 cases who had been admitted at the department of internal medicine of St. Mary´s Hospital, Catholic Medical College, during the period from January 1 to December 31, 1976. Of the 4056 cases, 115 cases were diagnosed as psychiatric ones by nature by the internists and the rest of 62 cases (53. 8%) were made as a result of psychiatric consultation. The results were as followings: 1) Age distribution revealed to be heavily concentrated between the decades of second and fourth, and the female patients out-numbered in nearly three times than male patients. 2) The initial impressions made at the department of internal medicine revealed that the commonest ones were gastrointestinal disorders, but the diagnostic impressions made at the department of neuropsychiatry revealed that various depressive illnesses as commonest ones. 3) When the initial impressions made at medical department were compared to the final diagnoses made by them, there were the increase of the numbers of neuroses, anxiety neuroses, hysterical neuroses. Depressive neuroses and involutional depressions were also noted, though there were no such diagnoses on admission. 4) The coincident rate between the diagnostic impression made at the department of neuropsychiatry and the final diagnosis made at the department of internal medicine was noted to be 48.4%. 5) Based on the above mentioned findings, it is strongly suggested that the internists should pay further attentions and gain further recognition for the existence of various somatic discomforts of the patient whose basic problems were rooted in psychological ones by nature.
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