Past mental health or substance use treatment history and psychiatric differential diagnosis in consultation-liaison patients.
The purpose of this study was to determine whether frequencies of any current primary or secondary (organic) psychiatric diagnoses in consultation-liaison (C-L) patients are associated with patient report of past history of mental health or substance use disorder treatment.
Clinical information recorded in 134 C-L patients was retrospectively analyzed with the chi-square test, two-tailed, or Fisher's Exact Test when the sample sizes were ¾ 5. The results revealed that the overall likelihood of the existence ofa secondary psychiatric disorder diagnosis is elevated when there is no treatment history (P=0.009).
A primary psychiatric disorder is more likely to be diagnosed when there is treatment history (P=0.009).
Specific psychiatric diagnoses more likely to be present when there is no treatment history are organic mood disorder depressed (P=0.020) and adjustment disorder (P=0.010).
Specific diagnoses more likely to be present when there is treatment history are psychoactive substance-withdrawal syndrome (P=0.014) and alcohol abuse or dependence (P=0.028).
The authors conclude that psychiatric treatment history can help C-L psychiatrists with differential diagnostic considerations.
Mots-clés Pascal : Trouble psychiatrique, Trouble mental organique, Diagnostic, Antécédent, Sevrage syndrome, Toxicomanie, Alcoolisme, Psychiatrie liaison, Consultation psychiatrique, Homme
Mots-clés Pascal anglais : Mental disorder, Organic mental disorder, Diagnosis, Antecedent, Withdrawal syndrome, Drug addiction, Alcoholism, Liaison psychiatry, Psychiatric consultation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0320934
Code Inist : 002B18B01. Création : 12/09/1997.