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Depression in patients referred for psychiatric consultation A need for a new diagnosis |
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| Authors: | David H. Rosen M.D. Frank McMillan Professor of Analytical Psychology Professor of Psychiatry Behavioral Science Robert J. Gregory M.D. Resident in Psychiatry Donald Pollock Ph.D. Assistant Professor of Anthropology Boston University Research Fellow Annamarie Schiffmann M.D. Supervising Physician |
| Affiliation: | 1 Beth Israel Hospital, Boston, USA 2 Department of Social Medicine, Harvard Medical School, USA 3 Department of Geriatrics, Zieglerspital, Bern, Switzerland |
| Abstract: | The authors analyzed 329 referrals for psychiatric consultation from medical and surgical wards. They found depression to be the most prevalent diagnosis (34%), with Major Depression being the most common DSM-III subtype (49%). Depression was predominant in the elderly (p<0.05), in women (p<0.05), and in patients with a high degree of psychosocial stressors (p<0.01). There were significant differences among the DSM-III subtypes of depression in some of these correlates. The authors emphasize the importance of DSM-III in differentiating among the subtypes of depression in referred patients but they suggest the need for a new diagnosis for depression in the physically ill. |
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