The Somatizing Patient in General Practice

Objective: The exploratory study described in this article followed two groups of patients over a twelve-month period. Subjects were drawn from a pool of patients who had consulted their general practitioner during the three-month selection period. One group consisted of patients who had consulted their general practitioner at least once about a physical complaint that the GP regarded as predominantly psychosocial; these patients did not articulate complaints of an explicitly mental or social nature. The second group was characterized by the fact that its members voiced precisely such mental or social complaints. Method: The study investigated the extent to which the two groups (which were comparable in the severity of their complaints) differ with respect to patient characteristics such as the severity of their possible psychological problems, the frequency with which they visited their GPs, and the types of complaints—e.g. mental, psychosomatic and purely physical—they presented. Results: It was found that patients in the first group, whose somatic complaints were seen to have a psychosocial basis, are not the dependent types generally mentioned in theories about somatization. In fact, they adopt a more independent attitude to the GP than do patients voicing mental complaints. There are indications that for “somatizing” patients, underlying mental problems are less important than for “psychologizing” patients. Conclusions: Both the somatizing patients and the psychologizing patients continued very frequent visits to their GP during the 12-month research period, although chiefly to address physical complaints that the GP also assessed as such.

The Impact of a Child Psychiatry Liaison Service on Patterns of Referral

A retrospective study of referrals to a child psychiatry liaison service was carried out in order to assess the impact of the reorganisation of the service. A total of 55% of referrals were of in-patients on the paediatric ward; other in-patients made up 12.5%. Of all referrals, 67% were from paediatricians. Of the children who had not harmed themselves, most were referred either for help with the management of physical illness or for investigation of a non-organic physical complaint. The main finding was that liaison referrals increased significantly in contrast to both the total number of referrals and the number of cases of deliberate self-harm.

Correlations between Beck Depression Scores and Physical Complaints

The relationship between physical complaint and depression is explored for 29 male and 27 female students, normal subjects, from a middle to upper-middle socioeconomic class. Results bear out the clinically reported and theoretically hypothesized relationship between these two variables.

PELATIHAN PEREGANGAN DAN ISTIRAHAT AKTIF MENURUNKAN KELUHAN MUSKULOSKELETAL, KELELAHAN MATA DAN MENINGKATKAN KONSENTRASI KERJA KARYAWAN REKAM MEDIS RUMAH SAKIT SANGLAH DENPASAR

Currently, the department of medical recording of Sanglah hospital have utilizedcomputerization system. So must of the medical the record of patiens was organized by the devices. Some of physical complaint always felt by operator computer, especially on their neck, shoulder, arm, wrist, hand and eyes that could be annoyed the quality and productivity of the employees. The stretching training and active rest should be done to the employees of the department of medical recording of Sanglah hospital decreasing all of the complaints and could be increasing their the work concentration. Has the studies to the sample subjek an employees BMR, sampel were 20 people give treatmentinmy form training stretching and active rest. Variabel measure is complait musculoskeletalm eye fatique and concentration work. Resul treatmen betwen before working and after work for the Periodic I and Periodic II compared and analyzed statistically.In PI, the average score of musculoskeletal disorder is 77.36, eye fatigue is 67.90, and the work concentration which cover : speed 26.03, accuracy 18.01, and constancy 7,22. Mean while, in PII the average of score musculoskeletal disorder is 45.56, eye fatigue is 52.25, and the work concentration which cover : speed 15.00, accuracy 13.50, and constancy 6.23. According to that score could be knowing that the stretching training and active rest was decrease musculoskeletal disorder about 71.98%, eye fatigue 46.73% and the work concentration which cover : speed 80.06%, accurancy 61.89%, and constancy 40.08%. Which is in statistic this study was significantly p<0,05Therefore, could be concluded that stretching training and active rest decreasing musculoskeletal disorder and eye fatigue, and increasing the work concentration of BRM employees of Sanglah hospital. By doing so, that stretching training and active rest advisably to starts to be implemented in order to all of work activities of BMR employees of the hospital because the evident could be able to decrease musculoskeletal disorder, eye fatigue, and in order to increase employees” the work concentration