PMID- 23871089 OWN - NLM STAT- MEDLINE DCOM- 20140703 LR - 20151119 IS - 1873-7714 (Electronic) IS - 0163-8343 (Linking) VI - 35 IP - 6 DP - 2013 Nov-Dec TI - Oversight of constipation in inpatients with schizophrenia: a cross-sectional study. PG - 649-52 LID - S0163-8343(13)00189-8 [pii] LID - 10.1016/j.genhosppsych.2013.06.007 [doi] AB - OBJECTIVE: Constipation is often overlooked in patients with schizophrenia. We examined their awareness of constipation and whether they reported it to their psychiatrists. METHOD: Five hundred three inpatients with schizophrenia (International Classification of Diseases, 10th Revision) were interviewed about their recent bowel movements and evaluated for the diagnostic criteria for functional constipation. If constipation was present, patients were asked if they were aware of it and had reported it to their psychiatrists in charge. Additionally, their global psychopathology and functioning were assessed using the Clinical Global Impression-Schizophrenia (CGI-SCH) and the Global Assessment of Functioning (GAF), respectively. RESULTS: The criteria for constipation were met by 184 patients (36.6%); of these patients, only 56.0% (103/184) were aware of it. Moreover, only 34 of the constipated patients (18.5%) reported its presence to their psychiatrists. No significant differences were found in the CGI-SCH overall severity or subscale scores or in the GAF scores between those patients who reported and those who failed to report constipation. CONCLUSIONS: The present study demonstrated that constipation was neither recognized nor reported to psychiatrists by a significant percentage of the patients. These findings underscore the importance of greater vigilance and active evaluation of constipation in patients with schizophrenia for appropriate clinical management. CI - (c) 2013. FAU - Koizumi, Teruki AU - Koizumi T AD - Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan. FAU - Uchida, Hiroyuki AU - Uchida H FAU - Suzuki, Takefumi AU - Suzuki T FAU - Sakurai, Hitoshi AU - Sakurai H FAU - Tsunoda, Kenichi AU - Tsunoda K FAU - Nishimoto, Masahiko AU - Nishimoto M FAU - Ishigaki, Tatsuya AU - Ishigaki T FAU - Goto, Akiko AU - Goto A FAU - Mimura, Masaru AU - Mimura M LA - eng PT - Journal Article DEP - 20130717 PL - United States TA - Gen Hosp Psychiatry JT - General hospital psychiatry JID - 7905527 SB - IM MH - Aged MH - Comorbidity MH - Constipation/*complications/diagnosis/psychology MH - Cross-Sectional Studies MH - Delayed Diagnosis/psychology MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Inpatients/psychology/statistics & numerical data MH - Male MH - Middle Aged MH - Schizophrenia/*complications MH - *Schizophrenic Psychology MH - Surveys and Questionnaires OTO - NOTNLM OT - Comorbidity OT - Constipation OT - Ileus OT - Schizophrenia EDAT- 2013/07/23 06:00 MHDA- 2014/07/06 06:00 CRDT- 2013/07/23 06:00 PHST- 2013/01/24 00:00 [received] PHST- 2013/05/30 00:00 [revised] PHST- 2013/06/12 00:00 [accepted] PHST- 2013/07/23 06:00 [entrez] PHST- 2013/07/23 06:00 [pubmed] PHST- 2014/07/06 06:00 [medline] AID - S0163-8343(13)00189-8 [pii] AID - 10.1016/j.genhosppsych.2013.06.007 [doi] PST - ppublish SO - Gen Hosp Psychiatry. 2013 Nov-Dec;35(6):649-52. doi: 10.1016/j.genhosppsych.2013.06.007. Epub 2013 Jul 17.