Is a somatic screening by taking a somatic questionaire and blood examination of use in the outpatient psychiatric department?
ID
Source
Brief title
Condition
- Other condition
- Psychiatric and behavioural symptoms NEC
Synonym
Health condition
alle aanwezige relevante somatiek
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Is a somatic screening by taking a somatic questionaire and blood examination
of use in the outpatient psychiatric department? In the analysis we hope to
find out whether this type of somatic screening is usefull, and which
diagnostic steps are most contributing to effective screening.
Secondary outcome
-
Background summary
The relationship between psychiatric pathology and somatic diseases is diverse.
For example, somatic disease can be causative, contributing or comorbid.
Literature gives us high prevalences of known and unknown somatic diseases in
psychiatric patients, clinically and at the outpatient department. Without a
sufficient somatic screening, most of these somatic problems stay unknown.
There is no clear view about how a somatic screening in the outpatient
psychiatric department should be done.
Study objective
Is a somatic screening by taking a somatic questionaire and blood examination
of use in the outpatient psychiatric department?
Study design
Adults between the age of 18 and 65, who are referred by the family physician
to the outpatient psychiatric department, will be included. They will be asked
to participate. Those who participate are asked to fill in the somatic
questionaire, and they are asked to give a bloodsample (venous blood; natrium,
kalium, kreatinine, ureum, ASAT, ALAT, GGT, AF, bilirubine, BSE, Hh, Ht, MCV,
leucocytes, trombocytes, HbA1c, TSH (when abnormal) free T4), calcium,
albumine, Vitamine B12 and foliumacid.)
The regular interview for there psychiatric symptoms stays the same. Sources of
information in the diagnostic process will be the letter of referral by the
family physician, the somatic questionaire and interview, and blood
examination. After each step in the diagnostic process the researcher will
write down her hypotheses about somatic symptoms. In the analysis we hope to
find out whether this type of somatic screening is usefull, and which
diagnostic steps are most contributing to effective screening. The results of
the diagnostic process will be told to the patient and the family physician.
It is a prospective and descriptive pilot study, we will include at least 100
patients.
Study burden and risks
Blood examination can be a burden for patients. It is possible that abnormal
results will be found by bloodexamination. This can be caused by unknown
somatic disease, or by false positive lab results. Taking venous blood can
cause small hemorrage. The blood examination is considered an intervention
without risks, so no additional insurance is needed.
Filling in the questionaire will take 20-30 minutes, the interview will take 20
minutes, blood examination 10 minutes and feedback to the patient variates.
lage witsie baan 4
5000 AT, postbus 770
Nederland
lage witsie baan 4
5000 AT, postbus 770
Nederland
Listed location countries
Age
Inclusion criteria
patients at an outpatient department psychiatry (GGZ at Tilburg), age between 18-65), wills proficient, and capable to explain themselves clear enough.
Exclusion criteria
age above 65, or under 18, not wills proficient, and/or not capable enough to explain themselves clear enough.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL24716.097.08 |