The differences between referred and non-referred patients to a psychiatric consultation-liaison service in a general hospital

2020 ◽  
pp. 009121742098210
Author(s):  
Juan Valdés-Stauber ◽  
Ulrich Kendel
Keyword(s):  
Self Efficacy ◽  
Control Sample ◽  
Length Of Hospital Stay ◽  
Psychiatric Consultation ◽  
Psychosocial Profile ◽  
Multivariate Median ◽  
Admission Ward ◽  
Disease Episode ◽  
Mental Symptoms ◽  
Group Comparisons

Objective The primary aim of this study was to investigate whether there are clinical differences between patients who are referred or not referred for psychiatric consultation and liaison service. The secondary aim was to compare the perspectives of doctors, nurses and patients. Methods This naturalistic, prospective and comparative study (N = 294) utilised a control sample of non-referrals (n = 177, consenting 81) and referrals (n = 177, consenting 49). The normality of the data was examined with the Shapiro-Wilk test; bivariate group comparisons were made using Mann-Whitney, Wilcoxon tests and bivariate regression analyses. Statistically adjusted group comparisons were performed with multivariate median regressions. Results The sample presented limited representativeness. Referred patients were predominantly women, mostly living alone and not working. Compared to the non-referred patients, their disease episode and length of hospital stay were significantly longer, self-efficacy and quality of life lower and psychological stress was higher. For referred patients, there were no differences between the estimations of mental burden and the need for care among doctors, nurses and patients. Self-efficacy and appraisal of one's own burden were the best predictors of the extent of mental symptoms. Discussion Patients in an admission ward for internal medicine referred to a psychiatric consultation-liaison service displayed a more adverse psychosocial profile and were more psychologically burdened than non-referred patients, but they are also relevantly subsyndromal burdened. Identifying and supporting burdened patients is an endeavour that requires collaborative care, especially in the transition to specialised mental health and to primary care.

Prevalence and Recognition of Depressive Disorders in General Medical Inpatients

1988 ◽  
Vol 17 (4) ◽  
pp. 341-349 ◽  
Author(s):  
Michiel W. Hengeveld ◽  
Frans A. J. M. Ancion ◽  
Harry G. M. Rooijmans
Keyword(s):  
Depressive Disorder ◽  
Depressive Disorders ◽  
Length Of Hospital Stay ◽  
University Hospital ◽  
Psychiatric Consultation ◽  
Consultant Psychiatrist ◽  
Symptoms Of Depression ◽  
Medical Inpatients ◽  
Medical Wards ◽  
Depressive Patients

The Beck Depression Inventory (BDI) was administered to 220 of 340 patients consecutively admitted to three general medical wards of a University Hospital, whose length of hospital stay was more than five days. At least mild symptoms of depression (BDI ≥ 13) were reported by 70/220 (32%) of the patients. Alternate BDI depressive patients underwent psychiatric consultation. The psychiatric consultant established a DSM-III depressive disorder in 10/33 (30%) of these patients. Only 3/10 (30%) of the DSM-III depressive patients had been referred to the consultant psychiatrist by their physician.

An exploration into the cortical reorganisation of the healthy hand in upper-limb complex regional pain syndrome

2016 ◽  
Vol 13 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Flavia Di Pietro ◽  
Tasha R. Stanton ◽  
G. Lorimer Moseley ◽  
Martin Lotze ◽  
James H. McAuley
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Functional Impairment ◽  
Self Efficacy ◽  
Control Sample ◽  
Pain Syndrome ◽  
Hemispheric Differences ◽  
Spearman's Rho ◽  
Spearman’S Rho ◽  
Pain Duration ◽  
The Relationship

AbstractBackground and aimsRecent evidence demonstrated that complex regional pain syndrome (CRPS) is associated with a larger than normal somatosensory (S1) representation of the healthy hand. The most intuitive mechanism for this apparent enlargement is increased, i.e. compensatory, use of the healthy hand. We investigated whether enlargement of the S1 representation of the healthy hand is associated with compensatory use in response to CRPS. Specifically, we were interested in whether the size of the S1 representation of the healthy hand is associated with the severity of functional impairment of the CRPS-affected hand. We were also interested in whether CRPS duration might be positively associated with the size of the representation of the healthy hand in S1.MethodsUsing functional magnetic resonance imaging (fMRI) data from our previous investigation, the size of the S1 representation of the healthy hand in CRPS patients (n = 12) was standardised to that of a healthy control sample (n = 10), according to hand dominance. Responses to questionnaires on hand function, overall function and self-efficacy were used to gather information on hand use in participants. Multiple regression analyses investigated whether the S1 representation was associated with compensatory use. We inferred compensatory use with the interaction between reported use of the CRPS-affected hand and (a) reported overall function, and (b) self-efficacy. We tested the correlation between pain duration and the size of the S1 representation of the healthy hand with Spearman’s rho.ResultsThe relationship between the size of the S1 representation of the healthyh and and the interaction between use of the affected hand and overall function was small and non-significant ( β =-5.488×10-5, 95% C.I. –0.001, 0.001). The relationship between the size of the S1 representation of the healthy hand and the interaction between use of the affected hand and self-efficacy was also small and non-significant (β =-6.027×10-6, 95% C.I. –0.001, 0.001). The S1 enlargement of the healthy hand was not associated with pain duration (Spearman’s rho = –0.14, p = 0.67).ConclusionOur exploration did not yield evidence of any relationship between the size of the healthy hand representation in S1 and the severity of functional impairment of the CRPS-affected hand, relative to overall hand use or to self-efficacy. There was also no evidence of an association between the size of the healthy hand representation in S1 and pain duration. The enlarged S1 representation of the healthy hand does not relate to self-reported function and impairment in CRPS.ImplicationsWhile this study had a hypothesis-generating nature and the sample was small, there were no trends to suggest compensatory use as the mechanism underlying the apparent enlargement of the healthy hand in S1. Further studies are needed to investigate the possibility that inter-hemispheric differences seen in S1 in CRPS may be present prior to the development of the disorder.

scholarly journals End-of-life experience and its toll on quality of life and spirituality: a cross-sectional study

2021 ◽  
Vol 27 (5) ◽  
pp. 263-273 ◽  
Author(s):  
Serlandia da Silva Sousa ◽  
Andréa Dias Reis ◽  
José Osvaldo Barbosa ◽  
João Batista Santos
Keyword(s):  
Quality Of Life ◽  
End Of Life ◽  
Self Efficacy ◽  
Life Experience ◽  
Uterine Cancer ◽  
Length Of Hospital Stay ◽  
Spiritual Coping ◽  
Body Parts ◽  
Cross Sectional

Background: Breast and cervical/uterine cancer affect body parts that have symbolic meaning for women. Women with this diagnosis at the end-of-life often experience anxiety and depression that severely impacts their quality of life (QoL). Aims: This study aims to determine how the end-of-life experience impacts on the QoL and spirituality of women with advanced cancer. Methods: End-of-life patients and their caregivers were evaluated regarding religious and spiritual coping, depression and self-efficacy. Caregivers were interviewed regarding patients' QoL at the end-of-life. A spearman correlation test was used to evaluate correlation between variables. Findings: Several dimensions of positive religious and spiritual coping stood out for patients at the end of life. However, patients often experienced a negative revaluation of God. Patients reported experiencing low self-efficacy, depression and high levels of stress. The length of hospital stay, time spent in intensive care units and depression also correlated to the amount of worry and stress a patient experienced. Conclusions: The end-of-life patients had a poor quality of life, and experienced depression, but also used spiritual beliefs and religion as a means of coping with their end-of-life experience.

scholarly journals Fear and Perceived Likelihood of Victimization in Traditional and Cyber Settings

2014 ◽  
Vol 4 (4) ◽  
pp. 23-40
Author(s):  
Jessica Maddison ◽  
Debora Jeske
Keyword(s):  
Self Efficacy ◽  
Internet Use ◽  
Survey Design ◽  
Self Esteem ◽  
Group Differences ◽  
Cyber Victimization ◽  
Exposure Effect ◽  
Fear Of Victimization ◽  
Gender And Education ◽  
Group Comparisons

This study considers the influence of perceived likelihood, demographics (gender and education) and personality on fear of victimization and cyber-victimization using a survey design (N=159). The results suggest that perceived likelihood of victimization predicts fear of victimization in traditional contexts. Women tend to be more fearful of victimization in traditional and cyber contexts, confirming previous research. No group differences emerged in relation to education. Self-esteem and self-efficacy were not significant predictors of fear or perceived likelihood of victimization. However, perceived likelihood was a significant predictor of fear of victimization in traditional settings. This may suggest that different variables (such as awareness of vulnerability) may play a role in fear of victimization in cyber settings. Further group comparisons revealed that fear of victimization and cyber-victimization dependent on whether or not participants reported high or low perceived likelihood of victimization and internet use. Higher internet use was associated with greater fear of victimization, especially in combination with greater perceived likelihood of victimization. This may suggest an exposure effect, in that being online more frequently may also increase awareness of cyber incidents.

Group comparisons of coping self-efficacy between alcohol and cocaine abusers seeking treatment.

1999 ◽  
Vol 13 (2) ◽  
pp. 123-133 ◽  
Author(s):  
Sherrilyn M. Sklar ◽  
Helen M. Annis ◽  
Nigel E. Turner
Keyword(s):  
Self Efficacy ◽  
Group Comparisons

scholarly journals Creating visual aids with graphic organisers on an infinite canvas – the impact on the presenter

2015 ◽  
Vol 23 ◽  
Author(s):  
Jordi Casteleyn ◽  
Andre Mottart ◽  
Martin Valcke
Keyword(s):  
Self Efficacy ◽  
Teaching Practices ◽  
Concept Maps ◽  
Control Sample ◽  
Learning Technology ◽  
Visual Aids ◽  
Knowledge Maps ◽  
Beneficial Impact ◽  
Mind Maps ◽  
The Impact

Instead of the traditional set of slides, the visual aids of a presentation can now be graphic organisers (concept maps, knowledge maps, mind maps) on an infinite canvas. Constructing graphic organisers has a beneficial impact on learning, but this topic has not been studied in the context of giving a presentation. The present study examined this issue by having 199 students prepare a presentation. The control sample created visual aids that are similar to a deck of slides with text and pictures. In the first experimental condition, graphic organisers were inserted in this deck of slides, and in the second experimental condition, visuals aids with interconnected graphic organisers were produced. There were no significant differences in self-reported self-efficacy related to giving a presentation and in motivational variables. To detect if the presentations met the principles set by the conditions, the participants’ products were coded qualitatively, but this analysis also yielded no differences in variables. Further research should therefore explore the interaction between software and presenter.Keywords: visual communication; teaching practices; presentation skills; self-efficacy; prezi(Published: 20 February 2015)Citation: Research in Learning Technology 2015, 23: 25161 - http://dx.doi.org/10.3402/rlt.v23.25161

Patients with Psychiatric Disorders Require Greater Health-Care Resources after Injury

2018 ◽  
Vol 84 (12) ◽  
pp. 1889-1893 ◽  
Author(s):  
Elizabeth Warnack ◽  
Beatrix Hyemin Choi ◽  
Charles Dimaggio ◽  
Spiros Frangos ◽  
Marko Bukur ◽  
...  
Keyword(s):  
Health Care ◽  
Psychiatric Disorders ◽  
Traumatic Injury ◽  
Length Of Hospital Stay ◽  
Trauma Patients ◽  
Psychiatric Consultation ◽  
Health Care Resources ◽  
Psychiatric Conditions ◽  
Level 1 ◽  
Level 1 Trauma Center

The objective of this study was to assess whether patients with comorbid psychiatric conditions admitted after traumatic injury require greater health-care resource utilization. The trauma registry of a Level 1 trauma center was used to identify all adult trauma patients presenting from 2012 to 2015. Patients with psychiatric needs, identified as having either an ICD-9 code corresponding to a psychiatric disorder or requiring inpatient psychiatric consultation, were compared with controls, using propensity score matching. Patients with psychiatric disorders were more than three times more likely to present with penetrating injuries (odds ratio [OR] 3.5, P < 0.005). They had longer length of hospital stay (median 5 [IQR 2.5–11] vs. three days [IQR 1–7], P < 0.01), were approximately 70 per cent more likely to require ICU-level care (OR 1.68, P = 0.08), and were 80 per cent less likely to be discharged home (OR 0.18, P < 0.005). Trauma patients with psychiatric illness or need consume greater health-care resources.

The timing of psychiatric consultation in the general hospital and length of hospital stay

1986 ◽  
Vol 8 (3) ◽  
pp. 159-162 ◽  
Author(s):  
John S. Lyons ◽  
Jeffrey S. Hammer ◽  
James J. Strain ◽  
George Fulop
Keyword(s):  
Hospital Stay ◽  
General Hospital ◽  
Length Of Hospital Stay ◽  
Psychiatric Consultation

Identification, Psychiatric Diagnosis, and Preconsultation Management of Medical and Surgical Patients Who Eventually Receive a Psychiatric Consultation

1981 ◽  
Vol 10 (2) ◽  
pp. 173-180 ◽  
Author(s):  
Daniel S. P. Schubert ◽  
William Friedson
Keyword(s):  
Personality Disorder ◽  
Hospital Stay ◽  
Psychiatric Diagnosis ◽  
Length Of Hospital Stay ◽  
Previous Literature ◽  
Surgical Patients ◽  
Psychiatric Consultation ◽  
Trial Management ◽  
Total Group ◽  
Stay Time

Previous literature has raised the question as to why the identification by non-psychiatrists of psychopathology among inpatients does not lead to rapid psychiatric consultation requests. For patients who at some point received psychiatric consultation, charts from general medical (N = 62) and general surgical wards (N = 57) were examined for time of psychopathology recognition (documentation), length of hospital stay, time of psychiatric consultation, pre-consultation trial psychiatric management and psychiatric diagnosis. Of the total group, 66 per cent (N = 78) had documented recognition at admission, and of these recognized at admission, 54 per cent (N = 42) were referred early (in the first third) in their hospital stay. The combined group of patients with psychosis and neurosis were more likely to be recognized at admission, and given pre-consultation trial management, than the combined group of patients with personality disorder or transient situational disturbance. Once recognized at admission, the combined group of patients with neurosis, psychosis and personality disorder were more likely to be referred early for psychiatric consultation than patients with transient situational disturbance. Suggested reasons for consultation delay included perceived stability of psychopathology, lack of interference of psychopathology with non-psychiatric management and the view that some psychopathology does not constitute an abnormality subject to management.

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