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  1. Psychiatric consultations in medical outpatients with adbominal pain : patient and physician effects.

    Article - En anglais

    Objective 

    The purpose of the study was to assess the effect of a psychiatric consultation intervention in terms of changes in 1) the patients'psychological symptoms, and 2) satisfaction of general practitioners (GPs) concerning their cooperation with the internists.

    Method 

    In a randomized controlled design, the effect of a psychiatric consultation intervention in medical outpatients with abdominal pain (n=106) has been assessed.

    The goal of the intervention was 1) a holistic approach toward the patients'symptoms, and 2) the improvement of the cooperation between primary and secondary medical health services.

    The intervention was designed at the health care provider level ; the psychiatrist did not see or examine the patient.

    The 106 patients were subdivided in an index group (N=49) and a control group (N=57).

    The major outcome measures were the psychological status of the patient and degree of satisfaction of the GPs about the cooperation with the medical specialists.

    Results 

    At six months follow-up, there was a significantly greater decline in depressive symptoms assessed by SCL-90 in the patient index group compared with the control group.

    The GPs of the index group were significantly more satisfied with the cooperation and communication with the internists compared with the control group.

    Mots-clés Pascal : Douleur, Abdomen, Abdomen pathologie, Appareil digestif pathologie, Consultation psychiatrique, Effet psychologique, Symptomatologie, Qualité vie, Bien être psychologique, Médecin généraliste, Perception sociale, Attitude, Travail équipe, Personnel sanitaire, Homme

    Mots-clés Pascal anglais : Pain, Abdomen, Abdominal disease, Digestive diseases, Psychiatric consultation, Psychological effect, Symptomatology, Quality of life, Psychological well being, General practitioner, Social perception, Attitude, Team work, Health staff, Human

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

    Cote : 95-0224325

    Code Inist : 002A26N03B. Création : 09/06/1995.