TY - JOUR PY - 1988// TI - The tip of the iceberg: psychiatric consultations on an orthopedic service JO - International journal of psychiatry in medicine A1 - Kuhn, W. F. A1 - Bell, R. A. A1 - Seligson, D. A1 - Laufer, S. T. A1 - Lindner, J. E. SP - 375 EP - 382 VL - 18 IS - 4 N2 - One hundred and one consecutively admitted orthopedic patients with leg fractures participated in a study assessing psychiatric morbidity using the BSI- and SMAST-questionnaires. Patients identified as probable cases of psychopathology were then psychiatrically evaluated to establish diagnoses. It was determined that about 70 percent of the sample met the criteria for psychiatric diagnoses, with substance abuse being the leading group of disorders. The psychiatric consultation-liaison and orthopedic services remained blind to the research activities and continued to refer patients for psychiatric consultation when clinically necessary. Only six (5.9%) of the patients also participating in the study were referred for clinical consultation, and these appeared to have very obvious symptoms or complaints. The large majority of emotional distress remained unnoticed.
Language: en
LA - en SN - 0091-2174 UR - http://dx.doi.org/ ID - ref1 ER -