The problem of coping as a reason for psychiatric consultation

J. Strain, Jeffrey S. Hammer, David Huertas, Hwai Tai C. Lam, George Fulop

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6 Scopus citations

Abstract

To examine those patients referred to psychiatry for the "problem of coping", a structured clinical databased management system-MICRO-CARES-was employed to identify the frequency, demographic characteristics, psychiatric diagnoses, psychosocial interventions, use of psychopharmacology, number of follow-up visits, and discharge placement of these referrals. Consultations totaling 1,157 from July 1, 1988 through Jannuary 1, 1990 were divided into two groups and compared: "Not coping" (N = 456, 28.5%) and "others" (N = 701, 61%). Those with a "problem in coping" more often had no Axis 1 diagnosis (p = 0.001), or were described as adjustment disorders (p = 0.0001). Fewer recommendations were made for those with a coping problem, although lag time (admission date to request for consultation), number of followups, and discharge placement were not significantly different between the two groups. Stepwise logistic regression analyses revealed that the aged had lesser risk for being referred with a coping problem; those who were white, had their own income, experienced greater stress prior to hospitalization (Axis IV), and had higher functioning during the last year (Axis V) were at greater risk.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalGeneral Hospital Psychiatry
Volume15
Issue number1
DOIs
StatePublished - Jan 1993

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