Referrals to an acute psychiatry department at day and night. Are there diagnostic differences?

2009 ◽  
Vol 5 (02) ◽  
pp. 95 ◽  
Author(s):  
John E Berg
Keyword(s):  
Psychiatry Department ◽  
Acute Psychiatry

Case Series With Late-Onset Psychosis Hospitalized in a Geriatric Psychiatry Unit in Turkey: Experience in 9 Years

2003 ◽  
Vol 15 (1) ◽  
pp. 69-72 ◽  
Author(s):  
Yesne Alici-Evcimen ◽  
Turan Ertan ◽  
Engin Eker
Keyword(s):  
Early Onset ◽  
Late Onset ◽  
Case Series ◽  
Geriatric Psychiatry ◽  
Delusional Disorder ◽  
Early Onset Schizophrenia ◽  
Treatment Results ◽  
Thought Insertion ◽  
Psychiatry Department ◽  
Paranoid Psychosis

In this article we report the first series of Turkish inpatients with late-onset psychosis, and describe our 9-year experience at the only inpatient geriatric psychiatry department in Turkey. Among 420 patients hospitalized between 1993 and 2002, 27 were psychotic. In this group, eight patients were diagnosed as having late-onset schizophrenia (LOS) and six very-late-onset schizophrenia-like psychosis (VLOSLP). Five patients had early-onset schizophrenia and eight had delusional disorder. Females were more frequently seen in the group with LOS and the group with VLOSLP. Except for one patient with LOS, all patients with VLOSLP and LOS had paranoid psychosis. Nihilistic delusions, delusions of poverty or guilt, thought withdrawal, thought insertion, and thought broadcasting were not seen in any of the patients. Additionally, none of the LOS or VLOSLP patients showed erotomanic delusions. Grandiose and mystic delusions were not seen in those with VLOSLP. Treatment results and antipsychotic dosages at discharge were similar to those in previous reports from other cultures.

Validity and Clinical Scale Comparisons between the MMPI and MMPI-2 with Psychiatric Inpatients

1992 ◽  
Vol 70 (1) ◽  
pp. 323-332 ◽  
Author(s):  
Dudley David Blake ◽  
Phillip M. Kleespies ◽  
Walter E. Penk ◽  
Suellen S. Walsh ◽  
DeAnna L. Mori ◽  
...  
Keyword(s):  
Discriminant Function ◽  
Relative Stability ◽  
Patient Population ◽  
Psychiatric Patients ◽  
Special Populations ◽  
Clinical Scale ◽  
Acute Psychiatry ◽  
Highly Correlated ◽  
Discriminant Function Analyses

This study was designed to investigate the comparability of the original MMPI (1950) and the MMPI-2 (1989) with a psychiatric patient population. 34 male and 3 female patients, shortly after admission to one of two acute psychiatry units, completed the old and revised versions of the MMPI. Paired t tests indicated but scant differences for raw scores, while many more differences were found among T scores for validity, clinical, and supplemental scales. Analyses, however, showed all scales on the two forms to be highly correlated. Analysis of the high-point and two-point codes across the two administrations also showed relative stability, although the proportion of Scales 2 (Depression) and 8 (Schizophrenia) decreased, while those for Scales 6 (Paranoia) and 7 (Psychasthenia) increased markedly in the MMPI-2 protocols. Examination of each version's discriminability among mood- and thought-disordered subsamples suggested that the MMPI provides slightly better delineation between diagnostic classes. Discriminant function analyses showed that there were essentially no differences between the two forms in the accurate classification of clinical and nonclinical groups. The findings reported here provide support for the MMPI-2; despite modification, the newer form retains the advantages of the original MMPI. Differences found here may be unique to psychiatric patients and their patterns of MMPI/MMPI-2 equivalence and may not generalize to other special populations.

Contrast between Patients' Definitions of Their Problems and Expectancies for Treatment as a Predictor of Failure to Engage in Treatment

1984 ◽  
Vol 54 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Walter M. Phillips ◽  
David A. Goldberg ◽  
Brian M. O'Connell
Keyword(s):  
Psychiatry Department ◽  
Outpatient Psychiatry ◽  
Seeking Help ◽  
Definition Of

The discrepancy between the numbers of patients seeking help in our outpatient psychiatry department and those subsequently receiving treatment may be a function of the consistency of patients' definitions of their problems and their expectations regarding treatment. Assuming a consumer's approach to patienthood, we hypothesized that the greater the congruence between patients definitions of their problems and expectancy for treatment, the more likely that the patient and evaluating therapist would agree to initiate therapy. For 34 clients responses to a 20-item survey confirmed the hypothesis and suggested the need for explicit clarification with incoming patients of the definition of problems and expectancy for treatment.

Lists of Demographic Details and Psychiatric Diagnoses of Patients Diagnosed with FMS in Physical Therapy and Rehabilitation Outpatient Clinics

2017 ◽  
Vol 41 (S1) ◽  
pp. S709-S709
Author(s):  
C. Tüz
Keyword(s):  
Physical Therapy ◽  
State Hospital ◽  
Outpatient Clinic ◽  
Outpatient Clinics ◽  
Psychiatric Diagnoses ◽  
Physical Medicine ◽  
Psychiatric Outpatients ◽  
Psychiatric Assessment ◽  
Psychiatry Department ◽  
Competing Interest

ObjectiveIn this study, a list of demographic details and a list of psychiatric diagnoses of patients who presented to physical therapy and rehabilitation outpatients clinics of Erenköy state hospital for physical medicine and rehabilitation and were diagnosed with fibromyalgia were investigated.MethodThe study sample included patients who presented to outpatient clinics of the department of physical therapy and rehabilitation and the department of psychiatry in the hospital in 2015 and patients who were diagnosed with fibromyalgia (FMS) in the outpatient clinic of department of physical therapy and rehabilitation and also presented to the outpatients’ clinics of psychiatry department. SCID-Mood Module and HAM-D were used during psychiatric assessment of the patients.ConclusionIt was determined that a total of 5225 patients diagnosed with fibromyalgia were examined in physical therapy and rehabilitation outpatient clinics in 2015. Of these, 183 patients also presented to the psychiatric outpatients clinic and were diagnosed with a psychiatric diagnoses. In this study, a list of demographic details and a list of psychiatric diagnoses of these 183 patients were made. The results were compared with the literature.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

P.1.k.029 Predictors of acute psychiatry hospitalisation from a home treatment team

2015 ◽  
Vol 25 ◽  
pp. S369
Author(s):  
V. Chavarría Romero ◽  
M. Llobet ◽  
A. Malagon ◽  
M. Bellsola ◽  
A. Gonzalez ◽  
...  
Keyword(s):  
Home Treatment ◽  
Treatment Team ◽  
Acute Psychiatry

Communication skills scores of medical students and interview performance 3 years later

2018 ◽  
Vol 77 (7) ◽  
pp. 849-854
Author(s):  
Lan-Ting Lee ◽  
Shu Hui Cheng ◽  
Chii-Jeng Lin ◽  
Mei Hung Chi ◽  
I Hui Lee ◽  
...  
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Medical Curriculum ◽  
Clinical Interview ◽  
Initial Assessment ◽  
Inpatient Setting ◽  
Real Patient ◽  
Student Interactions ◽  
Psychiatry Department ◽  
Interview Performance

Objective: Communication skills are important, but the evaluation of these skills in the medical curriculum remains inconsistent. The aim of this study was to explore the relationship between the communication skills scores of junior medical students following curricula with different module evaluations and the clinical interview performance of the same students in a psychiatry department in their fifth year. Design: Prospective evaluation of communication and clinical interview skills. Setting: Medical school and psychiatry department inpatient setting. Method: The communication skills scores of 208 medical students in their second year (between 2009 and 2011) and their performance in interviews with patients in a psychiatry department in their fifth year (between 2012 and 2014) were assessed. Initial assessment was undertaken on the basis of problem-based learning (PBL) performance, evaluation of performance during conversation with patients, a related oral presentation and written report, students’ self-rating and a peer rating. Extra marks were given if students completed an optional special report inspired by the curriculum. To assess the interview performance of fifth-year medical students, the mini-Clinical Evaluation Exercise (mini-CEX) was used, together with weekly case-based discussions and the observation of a clinical interview with a real patient. Results: Tutors’ evaluations of the junior medical students’ performance during role-play ( ρ = .22, p = .001), its related reciprocal assessment ( ρ = .18, p = .010) and an extra-effort task ( ρ = .18, p = .009) as part of the communication skills curriculum were significantly correlated with the students’ later performance in a clinical interview with a patient. Conclusion: Observation of student interactions and motivations along with reciprocal peer evaluations offer better measures of communication skills in medical education than are oral presentations, self-ratings and conversations with real patients.

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