Skip to main content Accessibility help
×
Home

Physical Illness in Chronic Psychiatric Patients from a Community Psychiatric Unit: The Implications for Daily Practice

  • A. Honig (a1), P. Pop (a2), E. S. Tan (a3), H. Philipsen (a4) and M. A. J. Romme (a5)...

Abstract

The prevalence and significance of physical diseases, and health-care-seeking behaviour, were examined in a sample of 218 chronic psychiatric patients from an urban community psychiatric unit. Only 14% declined medical screening. Of the respondents, 53% had one or more probable or certain physical diseases warranting further medical attention. The majority of the diseases found were minor and typical of primary care problems. A severe (i.e. life-threatening) disease was present in 7% of respondents. Of the patients, 87% visited their GP at least once a year. The implications are that frequent consultation with primary care specialists and health-care-seeking behaviour should be noted, and included in any evaluation of the medical needs of chronic patients in community psychiatric care.

Copyright

Corresponding author

University of Limburg, Department of Mental Health Sciences, PO Box 616, 6200 MD Maastricht, The Netherlands.

References

Hide All
Adler, T. (1972) Helplessness in the helpers. British Journal of Psychology, 45, 315326.
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.
Ananth, J. (1984) Physical illness and psychiatric disorders. Comprehensive Psychiatry, 25, 586593.
Barnes, F. B., Mason, J. C., Greer, C., et al (1983) Medical illness in chronic psychiatric outpatients. General Hospital Psychiatry, 5, 191195.
Beresford, T. P., Hall, R. C. W., Wilson, F. C., et al (1985) Clinical laboratory data in psychiatric outpatients. Psychosomatics, 26, 731744.
Clare, A. (1976) Psychiatry in Dissent. London: Travistock Publications.
Davidson, R. E., Factor, R., Grundlack, E., et al (1988) Psychiatric nursing roles in a community mental health center. Community Mental Health Journal, 24, 8386.
Dubos, R. (1968) Man, Medicine and Environment. London: Pall Mall Press.
Eastwood, M. R. & Trevelyan, M. H. (1972) Relationship between physical and psychiatric disorder. Psychological Medicine, 2, 363372.
Hall, R. C. W., Gardner, E. R., Stickney, S. K., et al (1980) Physical illness manifesting as psychiatric disease. Archives of General Psychiatry, 37, 989995.
Hoffman, R. S. & Koran, L. M. (1984) Detecting physical illness in patients with mental disorder, Psychosomatics, 25, 654660.
Hoogduin, C. A. L., Haan, E. de & Terluin, B. (1985) Somatische aandoeningen bij opgenomen psychiatrische patiënten (Somatic illness in psychiatric in-patients). Tijdschrift voor psychiatrie, 27, 105114.
Kampmeier, M. H. (1977) Diagnosis and treatment of physical disease in the mentally ill. Annals of Internal Medicine, 86, 637645.
Koranyi, E. K. (1979) Morbidity and rate of undiagnosed physical illnesses in a psychiatric clinic population. Archives of General Psychiatry, 36, 414419.
Kreitman, N., Pearce, K. I. & Ryle, A. (1966) The relationship of psychiatric, psychosomatic and organic illness in a general practice. British Journal of Psychiatry, 112, 569579.
Maricle, R. A., Hoffman, W. F., Bloom, J. D., et al (1987) The prevalence and significance of medical illness among chronically mentally ill outpatients. Community Mental Health Journal, 23, 8190.
Ramsay, R. A., Krakowski, A. J., Rydzynski, Z., et al (1982a) International comparison of the prevalence of psychosomatic disorders in schizophrenic patients. Psychotherapy and Psychosomatics, 38, 206220.
Ramsay, R. A., Ananth, J., Engelsmann, F., et al (1982b) Schizophrenia and psychosomatic illness. Journal of Psychosomatic Research, 26, 3342.
Ramsay, R. A. & Engelsmann, F. (1983) Epidemiology of psychosomatic disorders in schizophrenic patients: methodological issues. Psychotherapy and Psychosomatics, 40, 148157.
Summers, W. K., Munoz, R. A. & Read, M. R. (1981) The psychiatric physical examination–Part I: Methodology. Journal of Clinical Psychiatry, 42, 9598.
Swinkels, H. (1988) Gezondheidsenqêtes, trendcýfers gezondheidsenquête 1981–1987 (Health survey 1981–1987). Maandbericht Gezondheidsstatistiek, 8, 1428.
Wood, M. & Lambert, H. (1987) International Classification of Primary Care. Oxford: Oxford University Press.

Physical Illness in Chronic Psychiatric Patients from a Community Psychiatric Unit: The Implications for Daily Practice

  • A. Honig (a1), P. Pop (a2), E. S. Tan (a3), H. Philipsen (a4) and M. A. J. Romme (a5)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Physical Illness in Chronic Psychiatric Patients from a Community Psychiatric Unit: The Implications for Daily Practice

  • A. Honig (a1), P. Pop (a2), E. S. Tan (a3), H. Philipsen (a4) and M. A. J. Romme (a5)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *