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Physical Illness in Chronic Psychiatric Patients from a Community Psychiatric Unit

The Implications for Daily Practice

Published online by Cambridge University Press:  02 January 2018

A. Honig ,
P. Pop ,
E. S. Tan ,
H. Philipsen  and
M. A. J. Romme
A. Honig*
Affiliation:
Department of Mental Health Sciences, University of Limburg; Community Psychiatric Service, (RIAGG) Maastricht
P. Pop
Affiliation:
Department of Internal Medicine, University Hospital Maastricht
E. S. Tan
Affiliation:
Department of Medical Statistics, University of Limburg
H. Philipsen
Affiliation:
Department of Nursing Science, University of Limburg
M. A. J. Romme
Affiliation:
Department of Social Psychiatry, University of Limburg, Consultant Social Psychiatrist, Community Psychiatric Service, (RIAGG) Maastricht
*
∗University of Limburg, Department of Mental Health Sciences, PO Box 616, 6200 MD Maastricht, The Netherlands.
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Abstract

The prevalence and significance of physical diseases, and health-care-seeking behaviour, were examined in a sample of 218 chronic psychiatric patients from an urban community psychiatric unit. Only 14% declined medical screening. Of the respondents, 53% had one or more probable or certain physical diseases warranting further medical attention. The majority of the diseases found were minor and typical of primary care problems. A severe (i.e. life-threatening) disease was present in 7% of respondents. Of the patients, 87% visited their GP at least once a year. The implications are that frequent consultation with primary care specialists and health-care-seeking behaviour should be noted, and included in any evaluation of the medical needs of chronic patients in community psychiatric care.

Type
Papers
Information
The British Journal of Psychiatry , Volume 155 , Issue 1 , July 1989 , pp. 58 - 64
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Adler, T. (1972) Helplessness in the helpers. British Journal of Psychology, 45, 315–326.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Ananth, J. (1984) Physical illness and psychiatric disorders. Comprehensive Psychiatry, 25, 586–593.CrossRefGoogle ScholarPubMed
Barnes, F. B., Mason, J. C., Greer, C., et al (1983) Medical illness in chronic psychiatric outpatients. General Hospital Psychiatry, 5, 191–195.CrossRefGoogle ScholarPubMed
Beresford, T. P., Hall, R. C. W., Wilson, F. C., et al (1985) Clinical laboratory data in psychiatric outpatients. Psychosomatics, 26, 731–744.CrossRefGoogle ScholarPubMed
Clare, A. (1976) Psychiatry in Dissent. London: Travistock Publications.Google Scholar
Davidson, R. E., Factor, R., Grundlack, E., et al (1988) Psychiatric nursing roles in a community mental health center. Community Mental Health Journal, 24, 83–86.Google Scholar
Dubos, R. (1968) Man, Medicine and Environment. London: Pall Mall Press.Google Scholar
Eastwood, M. R. & Trevelyan, M. H. (1972) Relationship between physical and psychiatric disorder. Psychological Medicine, 2, 363–372.CrossRefGoogle ScholarPubMed
Hall, R. C. W., Gardner, E. R., Stickney, S. K., et al (1980) Physical illness manifesting as psychiatric disease. Archives of General Psychiatry, 37, 989–995.CrossRefGoogle ScholarPubMed
Hoffman, R. S. & Koran, L. M. (1984) Detecting physical illness in patients with mental disorder, Psychosomatics, 25, 654–660.CrossRefGoogle Scholar
Hoogduin, C. A. L., Haan, E. de & Terluin, B. (1985) Somatische aandoeningen bij opgenomen psychiatrische patiënten (Somatic illness in psychiatric in-patients). Tijdschrift voor psychiatrie, 27, 105–114.Google Scholar
Kampmeier, M. H. (1977) Diagnosis and treatment of physical disease in the mentally ill. Annals of Internal Medicine, 86, 637–645.CrossRefGoogle ScholarPubMed
Koranyi, E. K. (1979) Morbidity and rate of undiagnosed physical illnesses in a psychiatric clinic population. Archives of General Psychiatry, 36, 414–419.CrossRefGoogle Scholar
Kreitman, N., Pearce, K. I. & Ryle, A. (1966) The relationship of psychiatric, psychosomatic and organic illness in a general practice. British Journal of Psychiatry, 112, 569–579.CrossRefGoogle ScholarPubMed
Maricle, R. A., Hoffman, W. F., Bloom, J. D., et al (1987) The prevalence and significance of medical illness among chronically mentally ill outpatients. Community Mental Health Journal, 23, 81–90.CrossRefGoogle ScholarPubMed
Ramsay, R. A., Krakowski, A. J., Rydzynski, Z., et al (1982a) International comparison of the prevalence of psychosomatic disorders in schizophrenic patients. Psychotherapy and Psychosomatics, 38, 206–220.Google Scholar
Ramsay, R. A., Ananth, J., Engelsmann, F., et al (1982b) Schizophrenia and psychosomatic illness. Journal of Psychosomatic Research, 26, 33–42.CrossRefGoogle ScholarPubMed
Ramsay, R. A. & Engelsmann, F. (1983) Epidemiology of psychosomatic disorders in schizophrenic patients: methodological issues. Psychotherapy and Psychosomatics, 40, 148–157.Google Scholar
Summers, W. K., Munoz, R. A. & Read, M. R. (1981) The psychiatric physical examination–Part I: Methodology. Journal of Clinical Psychiatry, 42, 95–98.Google Scholar
Swinkels, H. (1988) Gezondheidsenqêtes, trendcýfers gezondheidsenquête 1981–1987 (Health survey 1981–1987). Maandbericht Gezondheidsstatistiek, 8, 14–28.Google Scholar
Wood, M. & Lambert, H. (1987) International Classification of Primary Care. Oxford: Oxford University Press.Google Scholar
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