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  1. Past mental health or substance use treatment history and psychiatric differential diagnosis in consultation-liaison patients.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0320934

    Code Inist : 002B18B01. Création : 12/09/1997.