1989
DOI: 10.1001/archpsyc.1989.01810080063007
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Medical Evaluation of Psychiatric Patients

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Cited by 236 publications
(35 citation statements)
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“…Many studies (but not all) have found a high rate of medical and substance use problems among those with schizophrenia, but the evidence is not always compelling and the association between substance use and medical problems has not always been taken into account in the analyses. [15][16][17][18][19][20][21][22][23][24][25] When studying 'excess' treatment costs, the relationship between mental and medical illness is complex. In a study reporting higher medical care costs for adults with depression, Simon et al 26 suggested several possible reasons for this finding: (1) depression may increase patients' pain and distress, which in turn prompts them to seek help, (2) chronic medical conditions may interact with depression, increasing the need for both psychiatric and medical treatment, or, (3) increased attention from clinicians encourages return visits for treatment.…”
Section: Introductionmentioning
confidence: 99%
“…Many studies (but not all) have found a high rate of medical and substance use problems among those with schizophrenia, but the evidence is not always compelling and the association between substance use and medical problems has not always been taken into account in the analyses. [15][16][17][18][19][20][21][22][23][24][25] When studying 'excess' treatment costs, the relationship between mental and medical illness is complex. In a study reporting higher medical care costs for adults with depression, Simon et al 26 suggested several possible reasons for this finding: (1) depression may increase patients' pain and distress, which in turn prompts them to seek help, (2) chronic medical conditions may interact with depression, increasing the need for both psychiatric and medical treatment, or, (3) increased attention from clinicians encourages return visits for treatment.…”
Section: Introductionmentioning
confidence: 99%
“…Given the rate of physical co-morbidity and undetected physical disorders in psychiatric patients, [3][4][5] as well organic conditions presenting as mental illness, missing a potentially treatable physical condition can have tragic consequences for a patient. A thorough physical examination is a cost-effective way of ruling out important disorders and ophthalmological examination in particular is considered important.…”
Section: Discussionmentioning
confidence: 99%
“…2 Koran et al reported that thorough medical evaluation of 529 patients revealed active, important physical disease in 200 of them, with previously undetected diseases in 12 per cent of patients. 3 Goldman repor ted that nearly 50 per cent of patients with schizophrenia have medical comorbidity, who are less likely to report symptoms spontaneously, not seek or adhere to treatment, and not receive adequate physical health care. 4 The main findings of a crosssectional sur vey of long-stay psychiatric patients in a high-security psychiatric hospital by Cormac et al were a mean increase in weight, and high rates of smoking and obesity, with 54 per cent of patients having one or more health problems.…”
mentioning
confidence: 99%
“…In addition, Koran et al (9), in a well-designed study of preva-lence of physical illness in a public mental health system, found that almost half of the patients had an important physical health diagnosis. Both studies stressed the need for psychiatrists to be more attentive to medical abnormalities in the emergency room and to document medical clearance evaluations (8,9).…”
Section: Discussionmentioning
confidence: 99%