Masked depression in a combined medical-psychiatric unit
1985; Elsevier BV; Volume: 26; Issue: 3 Linguagem: Inglês
10.1016/s0033-3182(85)72875-7
ISSN1545-7206
AutoresAlan Stoudemire, Eugene W. Linfors, Michael Kahn, Jackie Brown, Jeffrey L. Houpt,
Tópico(s)Schizophrenia research and treatment
ResumoThe authors describe experience with over 200 patients in a combined medical-psychiatric unit. A minority (17%) of patients carried the diagnosis of a depressive disorder on admission, but after an intensive psychiatric evaluation, over half received a depression-related diagnosis. The majority of patients had initially presented to their internists with somatic complaints. These observations reiterate previous observations that significant numbers of patients have depression that may be under-recognized because of the presence of somatic symptoms and the prominent use of denial, repression, and obsessive-compulsive defenses. Implications for the relative cost-effectiveness of treating these patients in an inpatient seuing as contrasted to outpatient and liaison models are also discussed.
Referência(s)