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European consultation-liaison services and their user populations: the European Consultation-Liaison Workgroup Collaborative Study

机译:欧洲咨询联络服务及其用户群:欧洲咨询联络工作组合作研究

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摘要

The authors identified variations in the characteristics of patients referred to 56 consultation-liaison (C-L) services in 11 European countries. The authors found differences in the types of patients referred to the services, and there were significant differences between countries. The first difference lays in whether services saw patients for deliberate self-harm and for substance abuse. German psychosomatic C-L services saw virtually no such patients, although in other C-L services these patients constituted one-quarter to one-third of the patients referred. The second difference lays in the remaining group of referred patients. This group is best characterized by two dimensions. One describes the severity of psychopathology -- ranging from organic mental conditions to somatization. The other describes the clarity of the physical diagnosis -- ranging from patients referred by surgical wards to those referred by general medicine and neurology wards.
机译:作者确定了欧洲11个国家/地区的56个咨询服务所提供的患者特征的差异。作者发现转介服务的患者类型有所不同,并且国家之间存在显着差异。第一个区别在于服务机构是否看到患者故意蓄意自我伤害和滥用药物。德国的心身C-L服务实际上没有看到这样的患者,尽管在其他C-L服务中,这些患者占所转诊患者的四分之一到三分之一。第二个区别在于其余的转诊患者组。该组的最佳特征是二维。一种描述了精神病理学的严重性-从器质性精神状况到躯体化。另一个描述了物理诊断的清晰度-从外科病房转诊的患者到普通医学和神经病学转诊的患者。

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