Balestrieri M, Bisoffi G, De Francesco M, Eridani B, Martucci M, Tansella M
Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria, Università di Verona, Italy.
Psychol Med. 2000 Mar;30(2):359-67. doi: 10.1017/s0033291799001804.
We have recently reported a two-phase study on psychiatric morbidity in a sample of general hospital patients. This paper reports the results of the 6-month and 12-month follow-up of these patients.
The screening questionnaire was the GHQ-12. The main diagnostic instrument used in the second phase was the CIDI-PHC. All patients who had been interviewed with CIDI-PHC (N = 363) were followed-up and the baseline assessment was compared with the scoring on questionnaires administered in the 6-month postal enquiry and with the psychopathological status at 12-month, elicited with a telephone structured interview.
Sixty-two and 87% of patients completed the 6- and 12-month follow-up assessment respectively. The first follow-up indicated no significant decrease in the level of symptoms. The 12-month follow-up interview showed that 23% of males and 40% of females had poor/mostly poor mental health. The logistic model showed that females with a definite ICD-10 diagnosis, admitted to a medical department, who had consumed psychotropic drugs in the previous year, had the most unfavourable outcome. The risk of a poor/mostly poor outcome steadily increased with the severity of the psychopathology during hospitalization.
In medical and surgical general hospital patients the risk factors associated with a poor mental health outcome are similar to those found in primary care patients. Greater attention should be paid in assessing routinely mental health status of general hospital patients during hospitalization.
我们最近报告了一项针对综合医院患者样本的精神疾病发病率的两阶段研究。本文报告了这些患者6个月和12个月随访的结果。
筛查问卷为GHQ - 12。第二阶段使用的主要诊断工具是CIDI - PHC。对所有接受CIDI - PHC访谈的患者（N = 363）进行随访，并将基线评估与6个月邮寄询问时填写的问卷得分以及12个月时通过电话结构化访谈得出的精神病理状态进行比较。
分别有62%和87%的患者完成了6个月和12个月的随访评估。首次随访表明症状水平没有显著下降。12个月的随访访谈显示，23%的男性和40%的女性心理健康状况较差/大多较差。逻辑模型显示，确诊为ICD - 10、入住内科、前一年服用过精神药物的女性预后最差。住院期间精神病理学严重程度越高，预后较差/大多较差的风险稳步增加。
在综合医院的内科和外科患者中，与心理健康不良结局相关的危险因素与在初级保健患者中发现的相似。住院期间应更加重视对综合医院患者心理健康状况的常规评估。
