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Physical Disorder Among Day Hospital Patients

Published online by Cambridge University Press:  29 January 2018

Aggrey W. Burke*
Affiliation:
St George's Hospital Medical School, London SW17

Summary

During a six-month period, physical disorder was found among 50 per cent of the 133 patients at a day hospital. Few of these cases (5) had organic brain syndromes. Among the remainder (62) physical disorder was not associated with sex, formal psychiatric diagnosis or time of referral to the hospital; of those 33 patients with a neurological disorder, one-third had previously been diagnosed to be hysterical. For this ‘hysterical’ group, however, associations with folate deficiency, organic brain disease, and depression were noted. The need is demonstrated for routine investigations among day hospital patients with particular attention for those with atypical features.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Burke, A. W. (1972) Physical illness in psychiatric hospital patients in Jamaica. British Journal of Psychiatry, 121, 321–2.CrossRefGoogle ScholarPubMed
Burke, A. W. (1977) Social and psychiatric problems in day-hospital management at Hill End. International Journal of Social Psychiatry, 23, 103–9.CrossRefGoogle ScholarPubMed
Carney, M. W. P. (1967) Serum folate values in 423 psychiatric patients. British Medical Journal, iv, 512–16.Google Scholar
Cross, K. W., Hassall, C. & Gath, D. (1972) Psychiatric day-care—the new chronic population. British Journal of Preventive and Social Medicine, 26, 199204.Google Scholar
Davies, D. W. (1965) Physical illness in psychiatric outpatients. British Journal of Psychiatry, 111, 2733.Google Scholar
Eastwood, M. R., Mindham, R. H. S. & Tennent, T. G. (1970) The physical status of psychiatric emergencies. British Journal of Psychiatry, 116, 545–50.CrossRefGoogle ScholarPubMed
Gottesman, I. I. (1962) Differential inheritance of the psychoneurosis. Eugenic Quarterly, 9, 223–7.CrossRefGoogle Scholar
Gough, K. R., Read, A. E., McCarthy, C. F. & Waters, A. H. (1963) Megaloblastic anaemic due to nutritional deficiency of folic acid. Quarterly Journal of Medicine, 32, 243–56.Google Scholar
Gundersen, H. J. G. (1969) Serum folate in psychiatric patients under long-term treatment with tricyclic neuroleptic drugs. Acta Psychiatrica Scandinavica, 45, 133–6.Google Scholar
Henderson, J. G., Strachan, R. W., Back, J. S., Dawson, A. A. & Daniel, M. (1966) The antigastric-antibody test as a screening procedure in psychiatric patients. Lancet, ii, 809–13.Google Scholar
Houston, F. & Royse, A. B. (1954) Relationship between deafness and psychotic illness. Journal of Mental Science, 100, 99103.CrossRefGoogle ScholarPubMed
Koranyi, E. K. (1972) Physical health and illness in a psychiatric out-patient department population. Canadian Psychiatric Association Journal, 17, 109–16.CrossRefGoogle Scholar
McKegney, F. P. (1967) The incidence and characteristics of patients with conversion reactions: 1. A general hospital consultation service sample. American Journal of Psychiatry, 124, 542–5.CrossRefGoogle Scholar
Maguire, G. P. & Granville-Grossman, K. L. (1968) Physical illness in psychiatric patients. British Journal of Psychiatry, 115, 1365–9.Google Scholar
Reynolds, E. H., Preece, J. M., Bailey, J. & Coppen, A. (1970) Folate deficiency in depressive illness. British Journal of Psychiatry, 117, 287–92.Google Scholar
Reynolds, E. H., Preece, J. M. & Johnson, A. L. (1971) Folate metabolism in epileptic and psychiatric patients. Journal of Neurology, Neurosurgery and Psychiatry, 34, 726–32.Google Scholar
Shulman, R. (1972) The present status of Vitamin Bn12 and folic acid deficiency in psychiatric illness. Canadian Psychiatric Association Journal. 17, 205–16.CrossRefGoogle Scholar
Slater, E. (1954) Diagnosis of hysteria. British Medical Journal, i, 1395–9.Google Scholar
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