THE PSYCHOSOCIAL REVIEW OF SYSTEMS

被引:21
作者
GOLDBERG, RJ
NOVACK, DH
机构
[1] BROWN UNIV, PROGRAM MED, PROVIDENCE, RI 02912 USA
[2] WOMEN & INFANTS HOSP RHODE ISL, PROVIDENCE, RI 02908 USA
[3] BROWN UNIV, DEPT MED, DEPT PSYCHIAT & HUMAN BEHAV, PROVIDENCE, RI 02912 USA
关键词
EDUCATION-MEDICAL; MODELS-PSYCHOLOGICAL; MEDICAL-HISTORY-TAKING; PHYSICIAN-PATIENT RELATIONSHIP;
D O I
10.1016/0277-9536(92)90022-I
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Psychosocial problems have a significant impact on the course and cost of medical illness. However, many of these areas are generally neglected in medical interviews. This manuscript presents a condensed review of the major psychosocial domains, which together constitute what we term a psychosocial review of systems (PROS). Selected references are provided which document the importance of these areas to medical care, and serve as background reading for further inquiry. The psychosocial areas which are covered include: substance use, stress and life events, subjective views of symptoms, daily activity, social support, sexual concerns, finances, psychiatric history and symptoms, cultural issues, and functional status. The Psychosocial Review of Systems (PROS) can serve as a basic overview for the psychosocial aspects of medical education, and also as a content based instrument which has potential for development as an assessment tool to measure physician competence in eliciting relevant psychosocial data.
引用
收藏
页码:261 / 269
页数:9
相关论文
共 149 条
[61]   SCREENING FOR ORGANIC MENTAL SYNDROMES IN MEDICALLY ILL [J].
JACOBS, JW ;
BERNHARD, MR ;
DELGADO, A ;
STRAIN, JJ .
ANNALS OF INTERNAL MEDICINE, 1977, 86 (01) :40-46
[62]   EPIDEMIOLOGICAL REVIEW OF MORTALITY OF BEREAVEMENT [J].
JACOBS, S ;
OSTFELD, A .
PSYCHOSOMATIC MEDICINE, 1977, 39 (05) :344-357
[63]  
JANI NN, 1988, J SEX MARITAL THER, V14, P279
[64]   THE FUNCTIONAL STATUS QUESTIONNAIRE - RELIABILITY AND VALIDITY WHEN USED IN PRIMARY CARE [J].
JETTE, AM ;
DAVIES, AR ;
CLEARY, PD ;
CALKINS, DR ;
RUBENSTEIN, LV ;
FINK, A ;
KOSECOFF, J ;
YOUNG, RT ;
BROOK, RH ;
DELBANCO, TL .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1986, 1 (03) :143-149
[65]   ALCOHOLISM - A CHALLENGING PHYSICIAN-PATIENT ENCOUNTER [J].
JOHNSON, B ;
CLARK, W .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1989, 4 (05) :445-452
[66]   PSYCHIATRIC SCREENING IN GENERAL-PRACTICE - CONTROLLED TRIAL [J].
JOHNSTONE, A ;
GOLDBERG, D .
LANCET, 1976, 1 (7960) :605-608
[67]   ANXIETY AND DEPRESSION IN THE MEDICAL SETTING - AN OVERVIEW [J].
KAMEROW, DB .
MEDICAL CLINICS OF NORTH AMERICA, 1988, 72 (04) :745-751
[68]  
KANE RL, 1981, GERIATRICS US
[69]   SOMATIZATION IN PRIMARY CARE - PATIENTS WITH UNEXPLAINED AND VEXING MEDICAL COMPLAINTS [J].
KAPLAN, C ;
LIPKIN, M ;
GORDON, GH .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1988, 3 (02) :177-190