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New Potential Clinical Indicators of Consultation–Liaison Psychiatry’s Effectiveness in Brazilian General Hospitals

Received May 23, 2006; revised August 14, 2006; accepted August 22, 2006. From the Consultation–Liaison Psychiatry Service of the Dept. of Psychiatry at the Universidade Federal de Saõ Paulo (Brazil) and the Consultation–Liaison Psychiatry Service of the Dept. of Psychiatry at Virginia Commonwealth University, Richmond VA; Albert Einstein Hospital (Brazil); the Dept. of Psychiatry, Universidade Federal de Saõ Paulo; the Dept. of Psychiatry, Universidade Federal de Saõ Paulo; and the Universidade Catolica de Santos (Brazil). Send correspondence and reprint requests to Vanessa Citero, M.D., Ph.D., Rua Botucatu 640 3andar, Depto. Psiquiatria/UNIFESP, Saõ Paulo, Brazil 04023-900. e-mail: vcitero{at}uol.com.br
© 2008 The Academy of Psychosomatic Medicine

The authors identified patients’ subjective well-being (SWB), relatives’ satisfaction with their information needs, and the medical team’s difficulty in helping patients, as potential indicators of effectiveness of consultation–liaison psychiatry. A random sampling of 74 beds was carried out (1 bed=1 patient + 1 relative + 1 nurse + 1 physician). There were negative correlations between SWB and anxious and depressive symptoms, and positive correlations with nurses’ difficulty in helping patients and patients’ depressive symptoms, nurses’ difficulty in helping patients and their perception about anxious and depressive symptoms; and physicians’ difficulty in helping patients and their perception about anxious and depressive symptoms. Patients’ SWB and difficulty in helping them constituted potential indicators in consultation–liaison psychiatry, whereas relatives’ satisfaction did not.

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