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Psychiatric Disorder in the General Hospital

Published online by Cambridge University Press:  29 January 2018

Richard Mayou  and
Keith Hawton
Richard Mayou*
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
Keith Hawton
Affiliation:
Warneford Hospital, Oxford OX3 7JX
*
∗ Correspondence
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Abstract

There have been many reports of psychiatric disorder in medical populations, but few have used standard methods on representative patient groups. Even so, there is consistent evidence for considerable psychiatric morbidity in in-patient, out-patient and casualty department populations, much of which is unrecognised by hospital doctors. We require a better classification of psychiatric disorder in the general hospital, improved research measures, and more evidence about the nature and course of the many different types of problem so that we can provide precise advice for their management of routine clinical practice.

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Type
Papers
Information
The British Journal of Psychiatry , Volume 149 , Issue 2 , August 1986 , pp. 172 - 190
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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References

Abiin, N., Asplund, K. & Bjermer, L. (1982) Nutritional status of medical patients on emergency admission to hospital. Acta Medico. Scandinavica, 212, 151–156.CrossRefGoogle Scholar
Aduan, R. P., Fauci, A. S., Dale, D. C., Herzberg, J. H. & Wolff, S. M. (1979) Factitious fever and self-induced infection: a report of 32 cases and review of the literature. Annals of Internal Medicine, 90, 230–242.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd ed.) DSM-III). Washington DC. APA.Google Scholar
Anthony, J. C., Leresche, L., Niaz, U., Von Koree, M. R. & Folstein, M. F. (1982) Limits of the ‘Mini-mental State’ as a screening test for dementia and delirium among hospital patients. Psychological Medicine, 12, 397–408.CrossRefGoogle ScholarPubMed
Ballinger, C. B. (1977) Psychiatric morbidity and the menopause: survey of a gynaecological out-patient clinic. British Journal of Psychiatry, 131, 83–89.Google Scholar
Bancroft, J. (1983) Human Sexuality and its Problems. Edinburgh: Churchill Livingstone.Google Scholar
Barrison, I. G., Viola, L., Mumford, J., Murray, R. M., Gordon, M. & Murray-Lyon, I. M. (1982) Detecting excessive drinking among admissions to a general hospital. Health Trends, 14, 80–83.Google Scholar
Barrison, I. G., Viola, L. & Murray-Lyon, I. M. (1980) Do housemen take an adequate drinking history? British Medical Journal, 281, 1040.Google Scholar
Barsky, A. J. & Klerman, G. L. (1983) Overview: hypochondriasis, bodily complaints and somatic styles. American Journal of Psychiatry, 140, 273–283.Google ScholarPubMed
Bass, C. & Wade, C. (1984) Chest pain with normal coronary arteries: a comparative study of psychiatric and social morbidity. Psychological Medicine, 14, 51–61.Google Scholar
Bassuk, E. L., Winter, R. & Apsler, R. (1983) Cross-cultural comparison of British and American psychiatric emergencies. American Journal of Psychiatry, 140, 180–184.Google ScholarPubMed
Bayliss, R. (1984) The deceivers. British Medical Journal, 288, 583–584.CrossRefGoogle ScholarPubMed
Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981) Epidemiology of mental disorders in Camberwell. Psychological Medicine, 11, 561–579.CrossRefGoogle ScholarPubMed
Beck, A. T., Ward, C. H. & Mendelson, M. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
Beresford, T., Low, D., Adduci, R. & Goggans, F. (1982) Alcoholism assessment on an orthopaedic surgery service. The Journal of Bone and Joint Surgery, 64, 730–733.Google Scholar
Berger, M., Wiedorn, P., Berchtold, P. & Zimmermann, H. (1977) Incidence of obesity in hospitalised patients 1933–1972. Deutsche Medizinische Wochenschrift, 102, 1836–1837.Google Scholar
Bergman, K. & Eastham, E. J. (1974) Psychogeriatric ascertainment and assessment for treatment in an acute medical ward setting. Age and Ageing, 3, 174–188.CrossRefGoogle Scholar
Berlin, R. M. (1984) Management of insomnia in hospitalised patients. Annals of Internal Medicine, 100, 398–404.Google Scholar
Bernadt, M. W., Taylor, C., Mumford, J., Smith, B. & Murray, R. M. (1982) Comparison of questionnaire and laboratory tests in the detection of excessive drinking and alcoholism. The Lancet, i, 325–328.Google Scholar
Bistrian, B. R., Blackburn, G. L., Vitale, J. Cochran, D. & Naylor, J. (1976) Prevalence of malnutrition in general medical patients. Journal of the American Medical Association, 235, 1567–1570.Google Scholar
Blackwell, B. (1968) The Munchausen syndrome. British Journal of Hospital Medicine, 1, 98–102.Google Scholar
Bridges, K. W., & Goldberg, D. P. (1984) Psychiatric illness in in-patients with neurological disorders: patients' views on discussion of emotional problems with neurologists. British Medical Journal, 289, 656–658.Google Scholar
Bristol, J. H., Giller, E. & Docherty, J. P. (1981) Trends in emergency psychiatry in the last two decades. American Journal of Psychiatry, 138, 623–628.Google Scholar
Brody, D. S. (1980) Physician recognition of behavioral, psychological and social aspects of medical care. Archives of Internal Medicine, 140, 1286–1289.CrossRefGoogle ScholarPubMed
Bukberg, J., Penman, D. & Holland, J. (1984) Depression in hospitalized cancer patients. Psychosomatic Medicine, 46, 199–212.Google Scholar
Byrne, P. (1984) Psychiatric morbidity in a gynaecology clinic: an epidemiological survey. British Journal of Psychiatry, 144, 28–34.Google Scholar
Carney, M. W. P. & Brown, J. P. (1983) Clinical features and motives among 42 artifactual illness patients. British Journal of Medical Psychology, 56, 57–66.Google Scholar
Cavanaugh, S. A. (1983) The prevalence of emotional and cognitive dysfunction in a general medical population: using the MMSE, GHQ, and BDI. General Hospital Psychiatry, 5, 15–24.Google Scholar
Cavanaugh, S. A. & Wettstein, R. M. (1984) Prevalence of psychiatric morbidity in medical populations In Psychiatry Update (ed. Grinspoon, L.). Washington DC: American Psychiatric Press.Google Scholar
Chick, J. Lloyd, G. & Crombie, E. (1985) Counselling problem drinkers in medical wards: a controlled study. British Medical Journal, 290, 965–967.Google Scholar
Clark, D. C., Cavanaugh, S. V. & Gibbons, R. D. (1983) The core symptoms of depression in medical and psychiatric patients. The Journal of Nervous and Mental Disease, 171, 705–713.Google Scholar
Cooper, B. & Bickel, H. (1984) Population screening and the early detection of dementing disorders in old age: a review. Psychological Medicine, 14, 81–95.Google Scholar
Copeland, J. R. M., Kelleher, M. J., Kellett, J. M., Gourlay, A. J., Gurland, B. J., Flfiss, J. L. & Sharpe, L. (1976) A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: the geriatric mental state schedule. 1. Development and reliability. Psychological Medicine, 6, 439–449.Google Scholar
Culpan, R. & Davies, B. (1960) Psychiatric illness at a medical and a surgical out-patient clinic. Comprehensive Psychiatry, 1, 228–235.Google Scholar
Cutting, J. (1980) Physical illness and psychosis. British Journal of Psychiatry, 136, 109–119.CrossRefGoogle ScholarPubMed
Czackes, J. W. & De Nour, A. K. (1978) Chronic Hemodialysis as a Way of Life. New York: Brunner Mazel.Google Scholar
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983) Comparison of research diagnostic systems in an Edinburgh community sample. British Journal of Psychiatry, 142, 247–256.Google Scholar
De Paulo, J. R. & Folstein, M. F. (1978) Psychiatric disturbances in neurological patients: detection, recognition and hospital course. Annals of Neurology, 4, 225–228.Google Scholar
De Paulo, J. R. & Folstein, M. F. & Gordon, B. (1980) Psychiatric screening on a neurological ward. Psychogical Medicine, 10, 125–132.CrossRefGoogle ScholarPubMed
Derogatis, L. R., Morrow, G. E., Fetting, J., Penman, D., Piasetsky, S., Schmale, A. M., Henrichs, M. & Carnicke, C. L. M. (1983) The prevalence of psychiatric disorders among cancer patients. Journal of the American Medical Association, 249, 751–757.Google Scholar
Drossman, D. A. (1982) Patients with psychogenic abdominal pain: six years' observation in the medical setting. American Journal of Psychiatry, 139, 1549–1557.Google Scholar
Dubin, W. R., Weiss, K. J. & Zeccardi, J. A. (1983) Organic brain syndrome: the psychiatric imposter. Journal of the American Medical Association, 249, 60–62.Google Scholar
Evans, P. J. D. (1981) Narcotic addiction in patients with chronic pain. Anaesthesia, 36, 597–602.Google Scholar
Ewing, J. A. (1984) Detecting alcoholism: the CAGE questionnaire. Journal of the American Medical Association, 252, 1905–1907.CrossRefGoogle ScholarPubMed
Feldman, E. J., Mayou, R. A., Hawton, K. E., Ardern, M. & Smith, E. B. O. (1986) Psychiatric disorder on general medical wards. Submitted for publication.Google Scholar
Folks, D. G., Ford, C. V. & Regan, W. M. (1984) Conversion symptoms in a general hospital. Psychosomatics, 25, 285–295.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) ‘Mini-mental State’. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle Scholar
Forester, B. M., Kornfeld, D. S. & Fleiss, J. (1978) Psychiatric aspects of radiotherapy. American Journal of Psychiatry, 135, 960–963.Google Scholar
Gath, D., Cooper, P. & Day, A. (1982) Hysterectomy and psychiatric disorder 1. Levels of psychiatric morbidity before and after hysterectomy. British Journal of Psychiatry, 140, 335–342.Google Scholar
Gerson, S. & Bassuk, E. (1980) Psychiatric emergencies: an overview. American Journal of Psychiatry, 137, 1–11.Google ScholarPubMed
Ghodse, H. (1981) Drug-related problems in London accident and emergency departments: a twelve month survey. The Lancet, ii, 859–862.Google Scholar
Goldberg, D. (1970) A psychiatric study of patients with diseases of the small intestine. Gut, 11, 459–465.CrossRefGoogle ScholarPubMed
Goldberg, D. (1972) The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph, 21. London: Oxford University Press.Google Scholar
Goldberg, D. (1978) Manual of the General Health Questionnaire. Slough: National Foundation for Educational Research.Google Scholar
Goldberg, D. (1981) The concept of a psychiatric ‘case’ in general practice. Social Psychiatry, 17, 61–65.Google Scholar
Goldberg, D. (1983) The use of screening questionnaires by family doctors In Report of Vit World Congress of Psychiatry. Vienna: Plenum.Google Scholar
Goldberg, D. (1985) Identifying psychiatric illness among general medical patients. British Medical Journal, 291, 161–162.Google Scholar
Goldberg, D. & Blackwell, B. (1970) Psychiatric illness in a suburban general practice. A detailed study using a new method of case identification. British Medical Journal, 2, 439–443.Google Scholar
Goldberg, D., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardised psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 18–23.Google Scholar
Goldberg, D., Huxley, P. (1980) Mental Illness in the Community. London: Tavistock.Google Scholar
Goldstein, I., Siroky, M. B. & Krane, R. J. (1983) Impotence in diabetes mellitus In Male Sexual Dysfunction, (eds Krane, R. J., Siroky, M. B. & Goldstein, I.). Boston: Little, Brown.Google Scholar
Gomez, J. & Dally, P. (1977) Psychologically mediated abdominal pain in surgical and medical out-patient clinics. British Medical Journal, i, 1451–1453.Google Scholar
Greer, S. (1985) Cancer: psychiatric aspects In Recent Advances in Psychiatry, 5, (ed. Granville-Grossman, K.). Edinburgh: Churchill Linvingstone.Google Scholar
Gurland, B. J., Kuriansky, J., Sharpe, L., Simon, R., Stiller, P. & Birkett, P. (1977) The Comprehensive Assessment and Referral Evaluation (CARE). Rationale, development and reliability. International Journal of Aging and Human Development, 8, 9–42.Google Scholar
Harris, R. T. (1983) Bulimarexia and related serious eating disorders with medical complications. Annals of Internal Medicine, 99, 800–807.Google Scholar
Hawton, K. (1981) The long-term outcome of psychiatric morbidity detected in general medical patients. Journal of Psychosomatic Research, 25, 237–243.Google Scholar
Hawton, K. (1982) Sexual problems in the general hospital In Medicine and Psychiatry: A Practical Approach (eds Creed, F. & Pfeffer, J. M.). London: Pitman.Google Scholar
Hawton, K. & Catalan, J. (1982) Attempted Suicide: A Practical Guide to its Nature and Management. Oxford: Oxford University Press.Google Scholar
Hawton, K. & Goldacre, M. (1982) Hospital admissions for adverse effects of medicinal agents (mainly self-poisoning) among adolescents in the Oxford region. British Journal of Psychiatry, 141, 165–170.Google Scholar
Henderson, A. S. & Huppert, F. A. (1984) The problem of mild dementia. Psychological Medicine, 14, 5–11.Google Scholar
Henderson, A. S., Duncan-Jones, P., Byrne, D. G., Scott, R. & Adcock, S. (1979) Psychiatric disorder in Canberra: as standardised study of prevalence. Acta Psychiatrica Scandinavia, 60, 355–374.Google Scholar
Hodkinson, H. M. (1973) Mental impairment in the elderly. Journal of The Royal College of Physicians, 7, 305–317.Google Scholar
Hoffman, R. S. (1982) Diagnostic errors in the evaluation of behavioural disorders. Behavioural Disorders, 248, 964–967.Google Scholar
Holding, T., Buglass, D., Duffy, J. C. & Kreitman, N. (1977) Parasuicide in Edinburgh—a seven year review 1968–1974. British Journal of Psychiatry, 130, 534–543.Google Scholar
Holt, S., Stewart, I. C., Dixon, J. M. J., Elton, R. A., Taylor, T. V. & Little, K. (1980) Alcohol and the emergency service patient. British Medical Journal, 281, 638–640.CrossRefGoogle ScholarPubMed
Holt, S., Skinner, H. A. & Israel, Y. (1981) Early identification of alcohol abuse: 2. Clinical and laboratory indicators. Canadian Medical Association Journal, 124, 1279–1293.Google Scholar
Hughes, J. E., Barraclough, B. M., Hamblin, L. G. & White, J. E. (1983) Psychiatric symptoms in dermatology patients. British Journal of Psychiatry, 143, 51–54.Google Scholar
Jacobsen, P. H. & Howell, R. J. (1978) Psychiatric problems in emergency rooms. Health and Social Work, 3, 89–107.Google Scholar
Jariwalla, A. G., Adams, P. H. & Hore, B. D. (1979) Alcohol and acute general medical admissions to hospital. Health Trends, 11, 95–98.Google Scholar
Johnston, M., Wakeling, A., Graham, N. & Stokes, F. (1986) Cognitive impairment, emotional disorder and length of stay of elderly patients in a district general hospital. (Submitted for publication).Google Scholar
Jones, S. L. & Yoda, L. (1982) How ‘urgent’ is the psychiatric patient in the emergency room? Journal of Psychiatric Treatment and Evaluation, 4, 243–251.Google Scholar
Katon, W., Ries, R. K. & Kleinman, A. (1984) Part II: a prospective DSM-III study of 100 consecutive somatisation patients. Comprehensive Psychiatry, 25, 305–314.Google Scholar
Kenyon, F. E. (1962) A psychiatric survey of a random sample of out-patients attending a dermatological hospital. Journal of Psychomatic Research, 6, 129–135.Google Scholar
Kirk, C. A. & Saunders, M. (1979) Psychiatric illness in a neurological out-patient department in North East England: use of the General Health Questionnaire in the prospective study of neurological out-patients. Acta Psychiatrica Scandinavica, 60, 427–437.Google Scholar
Knights, E. & Folstein, M. F. (1977) Unsuspected emotional and cognitive disturbance in medical patients. Annals of Internal Medicine, 87, 723.Google Scholar
Lancet (1980) Screening tests for alcoholism? The Lancet, ii, 1117–1118.Google Scholar
Lancet (1981) Adverse reactions to bendrofluazide and propranolol for the treatment of mild hypertension. The Lancet, ii, 539–543.Google Scholar
Leigh, H., Price, L., Ciarcia, J. & Mirassou, M. M. (1982) DSM-III and consultation-liaison psychiatry: toward a comprehensive medical model of the patient. General Hospital Psychiatry, 4, 283–289.Google Scholar
Lipowski, Z. J. (1983) Transient cognitive disorders (delirium, acute confusional states) in the elderly. American Journal of Psychiatry, 140, 1426–1436.Google Scholar
Lloyd, G. (1983) Medicine without signs. British Medical Journal, 287, 539–542.CrossRefGoogle ScholarPubMed
Lloyd, , Lloyd, G., Chick, J. & Crombie, E. (1982) Screening for problem drinkers among medical in-patients. Drug and Alcohol Dependence, 10, 355–359.Google Scholar
Lloyd, G. & Cawley, R. H. (1983) Distress or illness? A study of psychological symptoms after myocardial infarction. British Journal of Psychiatry, 142, 120–125.CrossRefGoogle ScholarPubMed
Lucas, M. J. & Folstein, M. F. (1980) Nursing assessment of mental disorders on a general medical unit. Journal of Psychiatric Nursing and Mental Health Services, 31–33.Google Scholar
McCulloch, D. K., Campbell, I. W., Wu, F. C., Prescott, R. J. & Clarke, B. F. (1980) The prevalence of diabetic impotence. Diabetologia, 18, 279–283.CrossRefGoogle ScholarPubMed
Macdonald, A. J. & Bouchier, I. A. D. (1980) Non-organic gastrointestinal illness: a medical and psychiatric study. British Journal of Psychiatry, 136, 276–283.Google Scholar
McIntosh, I. D. (1982) Alcohol-related disabilities in general hospital patients: a critical assessment of the evidence. International Journal of the Addictions, 17, 609–639.Google Scholar
McKegney, F. P. (1967) The incidence and characteristics of patients with conversion reactions: I. A general hospital consultation service sample. American Journal of Psychiatry, 124, 542–545.Google Scholar
Mackenzie, T. B. Popkin, M. K. & Callies, A. L. (1983) Clinical applications of DSM-III in consultation-liaison psychiatry. Hospital and Community Psychiatry, 34, 628–631.Google ScholarPubMed
McPherson, F. M., Gamsu, C. V., Kiemle, G., Ritchie, S. M., Stanley, A. M. & Tregaskis, D. (1985) The concurrent validity of the survey version of the Clifton Assessment Procedures fot the Elderly (CAPE). British Journal of Clinical Psychology, 24, 83–89.Google Scholar
Maoni, G., De Leo, D., Canton, G., Palazzolo, O., Antonielli, F. & Rossaro, P. (1984) Psychotropic drug use in an Italian general hospital. Pharmacopysychiatry, 17, 116–121.Google Scholar
Maguire, G. P., Julier, D. L., Hawton, K. E. & Bancroft, J. H. J. (1974) Psychiatric morbidity and referral on two general medical wards. British Medical Journal, 1, 268–270.CrossRefGoogle ScholarPubMed
Malling, T. J. B. & Moon, P. A. (1983) Hypnotic drug prescribing and consumption in a New Zealand teaching hospital. New Zealand Medical Journal. 96, 730–733.Google Scholar
Mann, A. H. (1977) The psychological effect of a screening programme and clinical trial for hypertension upon the participants. Psychological Medicine, 7, 431–438.Google Scholar
Martin, B. J., Northcote, R. J. Scullion, H. & Reilly, D. (1983) Alcohol-related morbidity in acute male medical admissions. Health Bulletin, 41, 263–267.Google ScholarPubMed
Maruta, T., Swanson, D. W. & Finlayson, R. E. (1979) Drug abuse and dependency in patients with chronic pain. Mayo Clinical Proceedings, 54, 241–244.Google Scholar
Maslansky, R. (1974) Emergency room experience with chemical abuse. Minnesota Medicine, 57, 108–109.Google Scholar
Mayfield, D. G. & Johnston, R. G. M. (1980) Screening techniques and prevalence estimation in alcoholism In Phenomenology and Treatment of Alcoholism (eds Fann, W. E. el at). New York: Spectrum Publications.Google Scholar
Mayou, R. (1973) Chest pain in the cardiac clinic. Journal of Psychosomatic Research, 17, 353–357.Google Scholar
Mayou, R. (1975) Psychological morbidity in a clinic for sexually-transmitted disease. British Journal of Venereal Diseases, 51, 57–60.Google Scholar
Merskey, H. & Spear, F. G. (1967) Pain, psychological and psychiatric aspects. London: Bailliere, Tindall and Cassell.Google Scholar
Midanik, L. (1982) The validity of self-reported alcohol consumption and alcohol problems: a literature review. British Journal of Addiction, 77, 357–382.Google Scholar
Moffic, H. S. & Paykel, E. S. (1975) Depression in medical in-patients. British Journal of Psychiatry, 126, 346–353.Google Scholar
Morgan, H. G., Burns-Cox, C. J. Pocock, H. & Pottle, S. (1975) Deliberate self-harm: clinical and socio-economic characteristics of 368 patients. British Journal of Psychiatry, 126, 564–574.Google Scholar
Nelson, A., Fogel, B. S., & Faust, D. (1986) Bedside cognitive screening instruments: a critical assessment. Journal of Nervous and Mental Disease, 174, 73–83.Google Scholar
Newson-Smith, J. G. B. & Hirsch, S. R. (1979) Psychiatric symptoms in self-poisoning patients. Psychological Medicine, 9, 493–500.Google Scholar
Nott, P. N. & Cutts, S. (1982) Validation of the 30-item General Health Questionnaire in postpartum women. Psychological Medicine, 12, 409–413.Google Scholar
Pattie, A. H. & Gilleard, C. J. (1979) Manual of the Clifton Assessment Procedures for the Elderly (CAPE). Sevenoaks: Hodder and Stoughton Educational.Google Scholar
Pearson, D. J. (1985) Food allergy, hypersensitivity and intolerance. Journal of the Royal College of Physicians of London, 19, 154–162.Google Scholar
Perry, S. W. & Wu, A. (1984) Rationale for the use of hypnotic agents in a general hospital. Annals of Internal Medicine, 100, 441–446.CrossRefGoogle ScholarPubMed
Pokorny, A. D., Miller, B. A. & Kaplan, H. B. (1972) The brief MAST: A shortened version of the Michigan Alcoholism Screening Test. American Journal of Psychiatry, 129, 342–345.Google Scholar
Popktn, M. K., Mackenzie, T. B. & Callies, A. L. (1984) Psychiatric consultation to geriatric medically ill in-patients at a university hospital. Archives of General Psychiatry, 41, 703–707.Google Scholar
Querido, A. (1959) An investigation into the clinical, social and mental factors determining the results of hospital treatment. British Journal of Preventive and Social Medicine, 13, 33–49.Google Scholar
Rabins, P. V. & Brooks, B. R. (1981) Emotional disturbance in multiple sclerosis patients: validity of the General Health Questionnaire (GHQ). Psychological Medicine, 11, 425–427.Google Scholar
Rabins, P. V. & Folstein, M. F. (1982) Delirium and dementia: Diagnostic criteria and fatality rates: British Journal of Psychiatry, 140, 149–153.Google Scholar
Rabins, P. V., Lucas, M. J., Teitelbaum, M., Mark, S. R. & Folstein, M. (1983) Utilization of psychiatric consultation for elderly patients. Journal of the American Geriatrics Society, 31, 581–585.Google Scholar
Ratnoff, O. D. (1980) The psychogenic purpuras: a review of autoerythrocyte sensitization to DNA, ‘hysterical’ and factitial bleeding, and the religious stigmata. Seminars in Hematology, 17, 192–213.Google Scholar
Reich, P. & Gottfried, L. A. (1983) Factitious disorders in a teaching hospital. Annals of Internal Medicine, 99, 240–247.Google Scholar
Roca, R. P., Klein, L. E., Kirby, S. M., McArthur, J. C., Vogelsang, G. B., Folstetn, M. F. & Smith, C. R. (1984) Recognition of dementia among medical patients. Archives of Internal Medicine, 144, 73–75.Google Scholar
Rodin, G. M., Daneman, D., Johnson, L. E., Kerslake, A. & Garftnkel, P. (1985) Anorexia nervosa and bulimia in female adolescents with insulin dependent diabetes mellitus: a systematic study. Journal of Psychiatric Research, 19, 381–384.Google Scholar
Rogers, M. P., Liang, M. H. & Partridge, A. J. (1982) Psychological care of adults with rheumatoid arthritis. Annals of Internal Medicine, 96, 344–348.Google Scholar
Ruskin, P. E. (1985) Geropsychiatric consultation in a university hospital: a report on 67 referrals. American Journal of Psychiatry, 142, 333–336.Google Scholar
Russe, B. R. & Wells, K. S. (1980) A research note on drug-related emergency room cases. Journal of Alcohol and Drug Education, 25, 7–13.Google Scholar
Salkovskis, P. M., Storer, D., Atha, C., Warwick, H. M. C. (1986) Psychiatric morbidity in an accident and emergency department: characteristics of patients at presentation and I month follow-up. To be published.Google Scholar
Salzman, C. & Van Der Kolk, B. (1980) Psychotropic drug prescriptions for elderly patients in a general hospital. Journal of the American Geriatrics Society, 27, 18–22.CrossRefGoogle Scholar
Schade, D. S., Drumm, D. A., Eaton, R. P. & Sterling, W. A. (1985) Factitious brittle diabetes mellitus. The American Journal of Medicine, 78, 777–783.Google Scholar
Sellers, E. M., Marchman, J. A., Kaplan, H. L., Giles, H. G., Kapur, B. M., Buston, U., MacLeod, S. M., Stapleton, C. & Sealey, F. (1981) Acute and chronic drug abuse emergencies in metropolitan Toronto. International Journal of the Addictions, 16, 283–303.Google Scholar
Selzer, M. L. (1971) The Michigan Alcoholism Screening Test: the quest for a new diagnostic instrument. American Journal of Psychiatry, 127, 1653–1658.Google Scholar
Skinner, H. A., Holt, S. & Israel, Y. (1981) Early identification of alcohol abuse: 1. Critical issues and psychosocial indicators for a composite index. Canadian Medical Association Journal, 124, 1141–1152.Google Scholar
Skuse, D. & Williams, P. (1984) Screening for psychiatric disorder in general practice. Psychological Medicine, 14, 365–377.Google Scholar
Slavney, P. R. & Teitelbaum, M. L. (1985) Patients with medically unexplained symtpoms: DSM-III diagnoses and demographic characteristics. General Hospital Psychiatry, 7, 21–25.CrossRefGoogle Scholar
Sneddon, I. B. (1983) Simulated disease: problems in diagnosis and management. Journal of the Royal College of Physicians, 17, 199–205.Google Scholar
Spitzer, R. L., Endicott, J., Fleiss, J. L. & Cohen, J. (1907) The Psychiatric Status Schedule: a technique for evaulating psychopathology and impairment in role functioning. Archives of General Psychiatry, 23, 41–55.Google Scholar
Spitzer, R. L. (1978) Research diagnostic criteria: rationale and reliability. Archives of General Psychiatry, 35, 773–782.Google Scholar
Summers, W. K., Rund, D. A. & Levin, M. (1979) Psychiatric illness in a general urban emergency room: daytime versus night-time population. Journal of Clinical Psychiatry, 40, 340–343.Google Scholar
Tattersall, R. B. (1981) Psychiatric aspects of diabetes—a physician's view. British Journal of Psychiatry, 139, 485–493.Google Scholar
Trimble, M. (1981) Neuropsychiatry. Chichester: John Wiley.Google Scholar
Tryer, S. P., Capon, M. N., Peterson, D. M., Charlton, J. E. & Thompson, J. W. (1985) The detection of psychiatric illness and psychological handicaps in a British pain clinic population. Pain, in press.Google Scholar
Urwin, P. & Gibbons, J. L. (1979) Psychiatric diagnosis in self-poisoning patients. Psychological Medicine, 9, 501–507.Google Scholar
Vazquez-Barquero, J. L., Padierna Acero, J. A., Pena Martin, C. & Ochoteco, A. (1985a) The psychiatric correlates of coronary pathology: validity of the GHQ–60 as a screening instrument. Psychological Medicine, 15, 589–596.Google Scholar
Vazquez-Barquero, J. L., Padierna Acero, J. A., Ochoteco, A. & Diez Manrique, J. F. (1985b) Mental illness and ischemic heart disease: analysis of psychiatric morbidity. General Hospital Psychiatry, 7, 15–20.CrossRefGoogle ScholarPubMed
Weissman, M. M. (1974) The epidemiology of suicide attempts, 1960 to 1971. Archives of General Psychiatry, 30, 737–746.Google Scholar
Weschler, D. (1955) Weschler Adult Intelligence Scale. New York: Psychological Corporation.Google Scholar
Westermeyer, J., Doheny, S. & Stone, B. (1978) An assessment of hospital care for the alcoholic patient. Alcoholism: Clinical and Experimental Research, 2, 53–57.Google Scholar
Wexler, L., Weissman, M. M. & Kasl, S. V. (1978) Suicide attempts 1970–5: updating a United States study and comparisons with international trends. British Journal of Psychiatry, 132, 180–185.Google Scholar
Williams, P., Tarnopolsky, A. & Hand, D. (1980) Case definition and case identification in psychiatric epidemiology: review and assessment. Psychological Medicine, 10, 101–104.Google Scholar
Wing, J. K., Cooper, J. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
World Health Organisation, (1981) Nomenclature and classification of drugs and alcohol-related problems: a WHO Memorandum. Bulletin of the World Health Organisation, 59, 225–242.Google Scholar
World Health Organisation, (1983) Diagnosis and classification of mental disorders and alcohol and drug-related problems: a research agenda for the 1980s. Psychological Medicine, 13, 907–921.Google Scholar
Worsley, A., Walters, W. A. W. & Wood, E. C. (1977) Screening for psychological disturbance amongst gynaecology patients. Australian and New Zealand Journal of Obstetrics and Gynaecology, 17, 214–219.Google Scholar
Ziegler, F. J., Imboden, J. B. & Meyer, I. (1960) Contemporary conversion reactions: a clinical study. American Journal of Psychiatry, 116, 901–910.Google Scholar
Zigmond, A. S. & Snaith, R. P. (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar
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