RESUMEN
The consultative psychiatry is the field of scientific research and medical practice connecting biological, psychological and social aspects of mental and somatic disorders. The aim of the study was to discuss the subject area of the consultative psychiatry. Psychiatrist may be asked for consultation by the physician, family or patient. The reason for this may be the need to transport or cam the patient down (emergency), the need to understand the disorder, its dynamics, therapeutic difficulties or difficulties in cooperation with the patient. The introduction to consultation consists of gathering information from the supporting staff, patient's family, main physician or from the disease records. Psychiatric examination should be taking place in peaceful surroundings enduring privacy. Basic examination of mental condition should be carried out. The results of the consultation are required to be shared in writing and they influence further treatment and often, further life of the patient. In difficult situations it is advised to carry out psychiatric consultation several times. In emergencies there is a need to consult the aggressive patients with suicidal tendencies and consciousness disorders. The future of consultative psychiatry is connected with development of medicine in the field of transplantology, oncology, pandemics of contagious diseases, biomedicine, etc.
Asunto(s)
Psiquiatría/organización & administración , Psiquiatría/tendencias , Derivación y Consulta/organización & administración , Derivación y Consulta/tendencias , PredicciónRESUMEN
AIM: The aim of the paper is to study the differences between the mentally ill and a control group correlated with stressful live events and its connection with a sense of coherence. METHODS: The group of 108 people, 49 psychiatric patients and 64 people without any mental disorders, were examined with the Hospital Anxiety-Depression Scale, Early Trauma Inventory, Social Readjustment Scale and the Sense of Coherence Scale. RESULTS: Patients with mental disorders had a significantly higher occurrence of stressful psychosocial factors during the last year, and also they were exposed to traumatic events in childhood more frequently than the control group. The sense of coherence, as a measurement of resources in coping with stress, was significantly lower in the case of the psychiatric patients. Statistically significant dependence of anxiety and depression symptoms which were reported by patients with mental disorders with abuses which were experienced in childhood highly correlated with a sense of coherence in the group of psychiatric patients. CONCLUSIONS: Psychiatric patients experienced stressful life events in childhood more frequently, which had to do with a sense of coherence as measure of 'resistance' resources to cope with stressful events.