Effects of Psychiatric Consultation on Medical Consumption in Medical Outpatients With Abdominal Pain

A randomized controlled clinical trial was conducted in an outpatient clinic of internal medicine to test the hypothesis that a protocol of cooperation and communication between internist and general practitioner, sustained with psychiatric consultation, would reduce medical consumption in a group o...

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Bibliographic Details
Published in:Psychosomatics (Washington, D.C.) D.C.), 1995-07, Vol.36 (4), p.387-399
Main Authors: Koopmans, Gerrit T., Meeuwesen, Ludwien, Huyse, Frits J., Meiland, Franka J.M., Donker, Ab J.M.
Format: Article
Language:English
Subjects:
Abdominal Pain - psychology
Adolescent
Adult
Aged
Ambulatory Care
Biological and medical sciences
Combined Modality Therapy
Female
Health Services Misuse
Humans
Internal Medicine
Male
Medical sciences
Mental health
Middle Aged
Organization of mental health. Health systems
Patient Care Team
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychophysiologic Disorders - psychology
Social psychiatry. Ethnopsychiatry
Somatoform Disorders - psychology
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Summary:A randomized controlled clinical trial was conducted in an outpatient clinic of internal medicine to test the hypothesis that a protocol of cooperation and communication between internist and general practitioner, sustained with psychiatric consultation, would reduce medical consumption in a group of medical outpatients with abdominal pain (N = 106). A reduction in medical consumption could not be demonstrated. However, a great variation in protocol adherence was found, partly related to the severity of the psychological problems. There is some evidence that the protocol, if restricted to cases with more severe psychiatric comorbidity, might reduce medical consumption.
ISSN:0033-3182
1545-7206
DOI:10.1016/S0033-3182(95)71648-6