The presence of psychiatric disorders reduces the likelihood of neurologic disease among referrals to a neurology clinic.

Abstract:

OBJECTIVES:This study aims to explore the prevalence and impact of psychiatric disorders on the likelihood of an organic, neurological explanation for symptoms among neurology referrals. METHODS:Consecutive new adult neurology referrals were screened for psychiatric disorders (PRIME-MD) prior to evaluation by neurologists, blinded to these results. Diagnoses were stratified into three categories: no neurological diagnosis, neurological-headache, and neurological-nonheadache. RESULTS:Of 235 patients enrolled, 79 (34%) received no neurological diagnosis, 54 (23%) headache and 102 (43%) a neurological diagnosis. Overall, 39% had an underlying psychiatric disorder. Patients with psychiatric disorders were less likely to have a neurological diagnosis (RR: 0.66, 95% CI: 0.48-0.90): 25% of patients with a neurological diagnosis had an underlying psychiatric disorder, compared to 43% among those with no diagnosis and 57% among those with headaches. CONCLUSION:Psychiatric disorders are common among neurology referrals, particularly those with headaches and are associated with a decreased likelihood of an underlying neurological process.

journal_name

J Psychosom Res

authors

Ekstrand JR,O'Malley PG,Labutta RJ,Jackson JL

doi

10.1016/S0022-3999(03)00564-6

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

11-6

issue

1

eissn

0022-3999

issn

1879-1360

pii

S0022399903005646

journal_volume

57

pub_type

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