Concurrent medical and psychiatric disorders among schizophrenic and neurotic outpatients

The records of two groups of patients (358 schizophrenics and 69 neurotics), attending the community mental health center of the Johns Hopkins Hospital, were reviewed to assess the extent and severity of reported medical problems. Results indicate that 38% of the schizophrenics and 53% of the neurotics report medical problems, but schizophrenics present with serious medical problems more often than do the neurotics. The authors draw attention to the need for properly assessing the severity of these medical problems and for adequately coordinating psychiatric and medical care. Strategies to overcome these difficulties are suggested.