2024-03-29T06:02:43Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00021679
2022-12-15T03:52:04Z
453:456
471:537:538:1190
院内他診療科から精神科外来へ診療依頼された症例の分析
院内他診療科から精神科外来へ診療依頼された症例の分析
Relation Between Psychiatric Symptoms and Physical Disorders in Outpatients Referred to the Psychiatric Clinic From the Viewpoint of Consultation-Liaison Psychiatry
森田, 昌宏
須賀, 良一
滝沢, 謙二
小熊, 隆夫
consultation-liaison psychiatry
referral to psychiatry
psychiatric symptoms associated with physical illness
physical symptoms associated with non-organic mental disorders
コンサルテーション・リエゾン精神医学
精神科診療依頼
身体疾患に伴われる精神症状
非器質性精神障害に伴われる身体症状
The present study is based on data of 541 cases visiting the psychiatric clinic as outpatients with referral from other non-psychiatric medical clinics during 3 years, (1986 to 1988). Psychiatric evaluation was made on all of the cases, and relation between psychiatric symptoms and physical disorders was investigated. In 137 of 541 cases, the psychiatric symptoms were considered as being caused by physical disorders involving organic brain disorders. In 104 cases, their psychiatric symptoms or problems occurrerd and developed as psychological reaction to the physical disorders and/or medical treatment. One hundred and five cases were categorized into somatoform disorder (DSM-IIIR) including conversion disorder and somatization disorder, because the physical symptoms were linked to psychological factors or conflicts, and were not adequately explained by physical disorders. One hundred and eighteen cases were diagnosed as functional psychiatric disorder (schizophrenic disorder, depression or anxiety disorder, etc.) In the remainder (45 cases) there was no cause-result relation between physical illness and psychiatric disorder, i.e. the physical illness and psychiatric disorder overlapped coincidentally. Significance of Consultation-Liaison Psychiatry in general hospital medicine was stressed and discussed.
新潟医学会
1991-01
jpn
departmental bulletin paper
http://hdl.handle.net/10191/38552
https://niigata-u.repo.nii.ac.jp/records/21679
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
105
1
30
38
https://niigata-u.repo.nii.ac.jp/record/21679/files/105(1)_30-38.pdf
application/pdf
1.9 MB
2019-08-16