Abstract
Medical and surgical teams consult psychiatrists when abnormal behavior or psychopathological traits are observed in their patients. To describe the experience of liaison psychiatry teams in public hospitals. Analysis of 128 consultations, involving 110 patients. Eighty eight patients were subjected to the structured Clinical Interview for DSM-IV-TR Axis I Disorders--Patient Edition, the Mini Mental State score and to a search for personality disorders. The most commonly consulted problems were depression in 44 patients, substance abuse in 29 and suicidal behavior in 21. The psychiatric study detected that 8% of patients were asymptomatic, 8% had stress reactions, 16.5% had substance abuse, 14.6% had alcohol abuse, 11% had a major depression, 10% had delirium or dementia, 9% had anxiety disorders, 4% schizophrenia, 18% personality disorders and 19% had suicidal behaviors. Psychiatric consultations in medical and surgical services are common and have a wide variety of severity.
Highlights
Medical and surgical teams consult psychiatrists when abnormal behavior or psychopathological traits are observed in their patients
Investigaciones nacionales sobre interconsultoría psiquiátrica en hospitales generales encontraron cuadros reactivos y neuróticos (43 y 44,9%), desórdenes de la personalidad (35%), cuadros orgánicos (30 y 10%), psicosis (18 y 8%), alcoholismo (3,3 y 8%) y desórdenes psicofisiológicos y sexuales[20,21,22]
Los trastornos no incluidos en este instrumento se diagnosticaron de acuerdo a criterios específicos del DSM IV-TR
Summary
Medical and surgical teams consult psychiatrists when abnormal behavior or psychopathological traits are observed in their patients. Results: The most commonly consulted problems were depression in 44 patients, substance abuse in 29 and suicidal behavior in 21. The psychiatric study detected that 8% of patients were asymptomatic, 8% had stress reactions, 16.5% had substance abuse, 14.6% had alcohol abuse, 11% had a major depression, 10% had delirium or dementia, 9% had anxiety disorders, 4% schizophrenia, 18% personality disorders and 19% had suicidal behaviors. Una investigación multicéntrica de equipos de consultoría de enlace y medicina psicosomática en Europa (56 servicios, 11 países), informó que los equipos médico-quirúrgicos piden atención para pacientes con síntomas psiquiátricos o con quejas somáticas inexplicables (57,2%), que se han autoinferido lesiones (17%), que son abusadores de sustancias (7%) o con dificultades para afrontar la enfermedad médica (4,1%)[15,18,19]. Con este estudio quisimos conocer qué problemas originan la demanda espontánea actual de los servicios médico-quirúrgicos a psiquiatría, describir los hallazgos del psiquiatra interconsultor a esa demanda y discutir sucintamente las posibilidades de la psiquiatría de enlace en los hospitales donde se hizo el estudio
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