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  1. Conditions not attributable to a mental disorder in Dutch psychiatric out-patients.

    Article - En anglais

    Background

    According to DSM-III-R V-code conditions refer to marital relationships, family circumstances, interpersonal relationships, or stressful life events that are not attributable to a mental disorder but that are the focus of treatment.

    The purpose of the present study was to assess the prevalence and patient and treatment characteristics of adult psychiatric out-patients diagnosed with V-code conditions.

    Methods

    The records of all 5660 consecutive admissions to a psychiatric out-patient clinic over a 12-year period were studied retrospectively.

    On the basis of both primary and secondary DSM-III-R diagnoses on Axis I, two subgroups of patients were compared : (I) patients with V-code conditions ; and (2) patients with mental disorders.

    Results

    Fourteen per cent of the patients had a V-code condition and no mental disorder, while the remaining patients were diagnosed with mental disorder (with or without an additional V-code condition).

    Comparisons of sociodemographic and clinical severity characteristics of the two groups indicated that patients with V-code conditions tended to have a higher socio-economic status and to present with less severe problems as assessed both by the primary therapist and the Symptom-Checklist-90.

    With respect to service use and treatment outcome variables, it appeared that V-code patients tended to be more frequently treated by couple/family therapy and to receive a slightly lower number of treatment sessions.

    Conclusions

    (...)

    Mots-clés Pascal : Trouble psychiatrique, Critère, Diagnostic, Environnement social, Démographie, Admission hôpital, Hôpital psychiatrique, Organisation santé, Santé mentale, Pays Bas, Europe, Homme

    Mots-clés Pascal anglais : Mental disorder, Criterion, Diagnosis, Social environment, Demography, Hospital admission, Psychiatric hospital, Public health organization, Mental health, Netherlands, Europe, Human

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

    Cote : 99-0149783

    Code Inist : 002B18H05B. Création : 16/11/1999.