Izlaganje sa skupa
COMPARISON OF HOSPITALIZED DEPRESSED PATIENTS RELATIVES ADMITTED THROUGH THE EMERGENCY DEPARTMENT OR CONSULTATIONS
Thomas Dubois
; Université Catholique de Louvain, University Hospital Centre of Mont-Godinne, Yvoir, Belgium
Nicolas Zdanowicz
; Université Catholique de Louvain, University Hospital Centre of Mont-Godinne, Yvoir, Belgium
Christine Reynaert
; Université Catholique de Louvain, University Hospital Centre of Mont-Godinne, Yvoir, Belgium
Sažetak
Background: A previous study showed an overuse of psychiatric emergencies by physicians. Now we study whether patients
hospitalized through emergencies have more pejorative specifications than patients admitted through consultations.
Method: All patients with Major depressive disorder admitted in our department through emergencies (N=146) or consultations
(N=2172) between January 1, 2010 and December 31, 2012 were included in an open study. They completed the Beck Depression
Inventory (BDI), analogical visual scales about stress levels (in professional, social, family, married life), life events scale over the
past year and the past month and the Olson Family Adaptation and Cohesion Scale.
Results: The depression (t=1.438; p=0.90) and stress level in the previous month (t=1.704; p=0.90) was similar in both samples.
Patients admitted through emergencies are characterized by lower levels of marital stress (t=2.590; p=0.01), higher levels of
cohesion (t=-2.988, p=0.003), higher adaptability of the current couple (t=-2.975, p=0.003) as well as the adaptability of the family
of the origin (t=-2.504, p=0.012).
Conclusions: If both samples are comparable in terms of stress or severity of depression, patients admitted through emergencies
have relatives who are more supportive and more adaptable! How can we explain why they did not consult before? We propose the
hypothesis that physicians and families would be exceeded or overloaded with symptoms they thought they could contain, forcing
them at this point to request an urgent care of the pathology. On the contrary patients with environments which are less cohesive and
adaptable would be redirected earlier to specialised consultation.
Ključne riječi
major depressive disorder; hospitalization; emergency; consultation; family stress level; family cohesion; family adaptability
Hrčak ID:
266332
URI
Datum izdavanja:
26.8.2013.
Posjeta: 216 *