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Physical symptoms in outpatients with psychiatric disorders consulting the general internal medicine division at a Japanese university hospital

Overview of attention for article published in International Journal of General Medicine, August 2015
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Title
Physical symptoms in outpatients with psychiatric disorders consulting the general internal medicine division at a Japanese university hospital
Published in
International Journal of General Medicine, August 2015
DOI 10.2147/ijgm.s82006
Pubmed ID
Authors

Yukiko Ishikawa, Taro Takeshima, Junichi Mise, Shizukiyo Ishikawa, Masami Matsumura

Abstract

General practitioners have an important role in diagnosing a variety of patients, including psychiatric patients with complicated symptoms. We evaluated the relationship between physical symptoms and psychiatric disorders in general internal medicine (GIM) outpatients in a Japanese university hospital. We coded the symptoms and diagnoses of outpatients from medical documents using the International Classification of Primary Care, second edition (ICPC-2). The participants were new outpatients who consulted the GIM outpatient division at Jichi Medical University Hospital in Tochigi, Japan from January-June, 2012. We reviewed all medical documents and noted symptoms and diagnoses. These were coded using ICPC-2. A total of 1,194 participants were evaluated, 148 (12.4%) of whom were diagnosed as having psychiatric disorders. The prevalence of depression, anxiety disorder, and somatization was 19.6% (number [n] =29), 14.9% (n=22), and 14.2% (n=21), respectively, among the participants with psychiatric disorders. The presence of several particular symptoms was associated with having a psychiatric disorder as compared with the absence of these symptoms after adjusting for sex, age, and the presence of multiple symptoms (odds ratio [OR] =4.98 [95% confidence interval {CI}: 1.66-14.89] for palpitation; OR =4.36 [95% CI: 2.05-9.39] for dyspnea; OR =3.46 [95% CI: 1.43-8.36] for tiredness; and OR =2.99 [95% CI: 1.75-5.13] for headache). Not only the psychiatric symptoms, but also some physical symptoms, were associated with psychiatric disorders in GIM outpatients at our university hospital. These results may be of help to general practitioners in appropriately approaching and managing patients with psychiatric disorders.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 15 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 15 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 20%
Student > Doctoral Student 2 13%
Lecturer 1 7%
Other 1 7%
Unspecified 1 7%
Other 4 27%
Unknown 3 20%
Readers by discipline Count As %
Medicine and Dentistry 7 47%
Social Sciences 2 13%
Agricultural and Biological Sciences 1 7%
Unspecified 1 7%
Nursing and Health Professions 1 7%
Other 1 7%
Unknown 2 13%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 August 2015.
All research outputs
#17,286,379
of 25,374,917 outputs
Outputs from International Journal of General Medicine
#764
of 1,653 outputs
Outputs of similar age
#165,173
of 276,431 outputs
Outputs of similar age from International Journal of General Medicine
#7
of 11 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,653 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.2. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 276,431 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.