1998 Volume 38 Issue 2 Pages 111-117
The purpose of this paper is to discuss the consultation-liaison service as the speciality of psychosomatic medicine.Between January 1992 and December 1996,we consulted 133 cases (male : 60,female : 73), a consulting ratio being 25.6% of the 496 total inpatients of psychosomatic medicine population. Internal medicine was most abundant (38.3%), secondly 26.3% from Surgery, 12.0% from Orthopedic Surgery, 7.5%, from Nephrology, 3.8% from Neurosurgery and 12.0% from others. The main diseases of the patients were more than 70 kinds with a wide range of variation. The contents of the requests included participation of psychological factors, depressive state, treatemnt as psychosomatic outpatients in the past, reasons for patients requesting psychosomatic therapy, and others.According to the axis I diagnosis of DSM-IV, mood disorders were found in 20.3%, adjustment disorders in 15.8%, psychological factors affecting medical condition in 14.3% and anxiety disorders in 9.0%. These 4 disorders occupied about 60% of total disorders.Contents of consulting course were assessment of mind-body correlation (29.3%), relied from uneasiness of diesease (24.1%), treatment of depression (13.5%), relief from uneasiness of examintion (9.0%), regulation of doctor-patient relationship (9.0%), and other psychosomatic approaches. 60.2% of consulting patients were discharged and followed up on the psychosomatic outpatient basis.These results suggested that consultation-liaison service was a speciality of psychosomatic medicine.
