Browse > Article
http://dx.doi.org/10.22722/KJPM.2021.29.1.34

A Study on the Characteristics and Consultation Request Type of Inpatients Referred for Depressive Symptoms  

Yoon, Nara (Department of Psychiatry, Konkuk University Medical Center)
Ryu, Seung-Ho (Department of Psychiatry, Konkuk University Medical Center)
Ha, Jee Hyun (Department of Psychiatry, Konkuk University Medical Center)
Jeon, Hong Jun (Department of Psychiatry, Konkuk University Medical Center)
Park, Doo-Heum (Department of Psychiatry, Konkuk University Medical Center)
Publication Information
Korean Journal of Psychosomatic Medicine / v.29, no.1, 2021 , pp. 34-41 More about this Journal
Abstract
Objectives : The purpose of this study is to investigate the characteristics of depressive patients who admitted to general hospital. We examined the clinical characteristics of patients who were referred to the Department of Psychiatry as depressive symptoms, according to the type of consultation request, and comparing 'with re-consultation' and 'without re-consultation' groups. Methods : We performed a retrospective chart review of 4,966 inpatients who were referred to the Department of Psychiatry from August 2005 to December 2011. Results : For about 6 years, among the inpatients referred for psychiatric consultation, a total of 647 patients were referred for depressive symptoms, accounting for 13.82% of the total consultations. The average age of depressive patients was 58.6 years, which was higher than the average of 56.4 years of overall patients. Among the depressive patients, 275 patients were included in 'with re-consultation' group and there was no statistically significant difference when comparing 'with re-consultation' group and 'without re-consultation' group. However, there was a difference in the tendency of the two groups in the type of consultation request. 'With re-consultation' group was in the order of frequency of consultation type 3-2-1, whereas the 'without re-consultation' group was in the order of frequency of consultation type 2-3-1. Conclusions : The group of inpatients who were referred for depressive symptoms in general hospital showed the largest proportion of the group of patients referred to the Department of Psychiatry. 'With re-consultation' group had a higher rate of re-consultation due to the occurrence of new symptoms after hospitalization compared to 'without re-consultation' group. Therefore, doctors in each department and psychiatrists should pay attention to the depressive symptoms of inpatients and actively discuss treatment plans to improve the quality of medical services, identify risk factors, and make efforts to intervene early if necessary.
Keywords
Consultation-liaison psychiatry; Depressive disorder; Consultation type; Psychopathological patient evaluation;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Millar HR. Psychiatric morbidity in elderly surgical patients. Br J Psychiatry 1981;138:17-20.   DOI
2 Lipowski ZJ. Review of consultation psychiatry and psychosomatic medicine. I. General principles. Psychosom Med 1967;29:153-171.   DOI
3 Ruskin PE. Geropsychiatric consultation in a university hospital: a report on 67 referrals. Am J Psychiatry 1985;142:333-336.   DOI
4 Karasu TB, Plutchik R, Steinmuller RI, Conte H, Siegel B. Patterns of psychiatric consultation in a general hospital. Hosp Community Psychiatry 1977;28:291-294.
5 Kim SR, Rim HD. A clinical study of psychiatric consultation at kyungbook national university hospital. J Korean Neuropsychiatr Assoc 1995;34:90-107.
6 Tylee A, Walters P. Underrecognition of anxiety and mood disorders in primary care: why does the problem exist and what can be done? J Clin Psychiatry 2007;68 Suppl 2:27-30.
7 Balestrieri M, Bisoffi G, Tansella M, Martucci M, Goldberg DP. Identification of depression by medical and surgical general hospital physicians. Gen Hosp Psychiatry 2002;24:4-11.   DOI
8 The Psychological Care of Medical Patients. Recognition of need and service provision. Joint Working Party of the Royal Colleges of Physicians and Psychiatrists. J R Coll Physicians Lond 1995;29:192-193.
9 Pepersack T, De Breucker S, Mekongo YP, Rogiers A, Beyer I. Correlates of unrecognized depression among hospitalized geriatric patients. J Psychiatr Pract 2006;12:160-167.   DOI
10 Guallar-Castillon P, Magarinos-Losada MM, Montoto-Otero C, Tabuenca AI, Rodriguez-Pascual C, Olcoz-Chiva M, Conde-Herrera M, Carreno C, Conthe P, MartinezMorentin E, Banegas JR, Rodriguez-Artalejo F. [Prevalence of depression and associated medical and psychosocial factors in elderly hospitalized patients with heart failure in Spain]. Rev Esp Cardiol 2006;59:770-778.   DOI
11 Alamri SH, Bari AI, Ali AT. Depression and associated factors in hospitalized elderly: a cross-sectional study in a Saudi teaching hospital. Ann Saudi Med 2017;37:122-129.   DOI
12 Vaz FJ, Salcedo MS. A model for evaluating the impact of consultation-liaison psychiatry activities on referral patterns. Psychosomatics 1996;37:289-298.   DOI
13 Vonammon Cavanaugh S. The prevalence of emotional and cognitive dysfunction in a general medical population: using the MMSE, GHQ, and BDI. Gen Hosp Psychiatry 1983;5:15-24.   DOI
14 Olfson M, Fireman B, Weissman MM, Leon AC, Sheehan DV, Kathol RG, Hoven C, Farber L. Mental disorders and disability among patients in a primary care group practice. Am J Psychiatry 1997;154:1734-1740.   DOI
15 De Man-Van Ginkel JM, Hafsteinsdottir T, Lindeman E, Burger H, Grobbee D, Schuurmans M. An efficient way to detect poststroke depression by subsequent administration of a 9-item and a 2-item Patient Health Questionnaire. Stroke 2012;43:854-856.   DOI
16 Mendes-Chiloff CL, Ramos-Cerqueira AT, Lima MC, Torres AR. Depressive symptoms among elderly inpatients of a Brazilian university hospital: prevalence and associated factors. Int Psychogeriatr 2008;20:1028-1040.   DOI
17 Creed F, Morgan R, Fiddler M, Marshall S, Guthrie E, House A. Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients. Psychosomatics 2002;43:302-309.   DOI
18 Martucci M, Balestrieri M, Bisoffi G, Bonizzato P, Covre MG, Cunico L, De Francesco M, Marinoni MG, Mosciaro C, Piccinelli M, Vaccari L, Tansella M. Evaluating psychiatric morbidity in a general hospital: a two-phase epidemiological survey. Psychol Med 1999;29:823-832.   DOI
19 Depaulo JR, Jr, Folstein MF. Psychiatric disturbances in neurological patients: detection, recognition, and hospital course. Ann Neurol 1978;4:225-228.   DOI
20 Knights EB, Folstein MF. Unsuspected emotional and cognitive disturbance in medical patients. Ann Intern Med 1977;87:723-724.   DOI
21 Lee TG, Kim JG. A study concerning the psychopathology and psychiatric consultaion of medical outpatients: focused on medical outpatients compared with health control group. J Korean Neuropsychiatr Assoc 2003;42:775-760.
22 Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-571.   DOI
23 Lipowski ZJ. Review of consultation psychiatry and psychosomatic medicine. II. Clinical aspects. Psychosom Med 1967;29:201-224.   DOI
24 Moffic HS, Paykel ES. Depression in medical in-patients. Br J Psychiatry 1975;126:346-353.   DOI
25 O'donnell K, Chung JY. The diagnosis of major depression in end-stage renal disease. Psychother Psychosom 1997;66:38-43.   DOI
26 Shevitz SA, Silberfarb PM, Lipowski ZJ. Psychiatric consultations in a general hospital. A report on 1,000 referrals. Dis Nerv Syst 1976;37:295-300.
27 Gobar AH, Collins JL, Mathura CB. Utilization of a consultation liaison psychiatry service in a general hospital. J Natl Med Assoc 1987;79:505-508.
28 Byoun WT, Kim JH, Je YM, Chung YI, Kim JC, Park JM. A study for advancement of psychiatric consultation-liaison activity I. A survey of the prevalence of psychiatric m orbidity in adult patient population of medical and surgical ward, and physician's a ttitudes toward psychiatric consultation. J Korean Neuropsychiatr Assoc 1986;25:81-91.
29 Royal College of Pyshicatrists. Who Cares Wins: Improving the Outcome for Older People Admitted to the General Hospital. London:Royal College of Pyshicatrists;2005. p.10-12.
30 Clarke DM, Smith GC. Consultation-liaison psychiatry in general medical units. Aust N Z J Psychiatry 1995;29:424-432.   DOI