Consultation-liaison psychiatry in obstetrics and gynecology.
Data documenting the activity of Modena and Reggio Emilia University Hospital Consultation-Liaison Psychiatry Psychosomatic Service (C-LPPS) to the 59 bed gynecological-obstetric unit are compared to the corresponding European Consultation Liaison Workgroup (ECLW) study results and discussed in the light of recent epidemiological studies suggesting a low rate of detection and psychiatric referral in obstetric and gynecological patients. All psychiatric consultations of gynecological-obstetric inpatients during a 3-year (1996-1998) period were included in this study and data were derived from valid and reliable consultation forms tested for reliability. Within the 3-year period 55 patients were referred to C-LPPS by the gynecological-obstetric unit for psychiatric consultation. Referral rate was 0.5% of the admitted patients in the unit. The gynecological-obstetric group represented 2.5% (vs. 4.5% ECLW study) of all psychiatric consultations requested in the study period. The most frequent reasons for referral were: current psychiatric symptoms (47.3% Modena study vs. 39% ECLW), psychiatric history (20% vs. 7.3%), unexplained physical symptoms (12.7% vs. 16.2%) and coping-compliance problems (3.6% vs. 16.6%). The most common ICD-10 psychiatric diagnoses were: neurotic, anxiety and adjustment disorders (41.8% vs. 31.2%), mood disorders (29% vs. 18.4%), personality disorders (7.3% vs. 6.1%), schizophrenic and other psychotic disorders (5.5% vs. 7%).
Rigatelli
M
M
Consultation Liaison Psychiatry Psychosomatic Service, University of Modena and Reggio Emilia, via Del Pozzo 71, 41100 Modena, Italy. riga@unimo.it
Galeazzi
G M
GM
Palmieri
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005060:Europe; D005260:Female; D005831:Genital Diseases, Female / Q000523:psychology*; D006801:Humans; D007558:Italy; D001523:Mental Disorders / Q000150:complications / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*; D012017:Referral and Consultation / Q000706:statistics & numerical data*