Sans M, Batalla C, Villagrasa D, Ezpeleta A, Escorza S, Comín E
Centro de salud Dr. Pujol y Capsada, El Prat de Llobregat, Barcelona.
Aten Primaria. 2000 Apr 15;25(6):412-6. doi: 10.1016/s0212-6567(00)78532-5.
To find the incidence, duration, diagnosis and treatment of time off work for psychiatric reasons.
Retrospective, descriptive study.
The Dr. Pujol i Capsada Health Centre in Baix Llobregat county, Barcelona.
All the records of time off occurring between January 1992 and December 1996 were reviewed. Time off for psychiatric reasons, and its length, follow-up, relapses and treatment were analysed.
71 patients had had time off on some occasion for psychiatric reasons (34% men, 66% women). The mean age was 38 (SD 10). The mean number of days off in the first period of time off (n = 71) was 155 days (SD = 302), in the second (n = 21) 209 (SD = 268), in the third (n = 8) 187 (SD = 327), and in the fourth (n = 3) 206 days (SD = 326). Total number of days off came to 16,894. 4% obtained invalidity status for psychiatric reasons. The most common initial reasons for the first period of time off were, by pathology: psychiatric (58%), osteo-muscular (17%), nervous system and sense organs (7%) and digestive system (6%). The psychiatric reasons for the first period off were: anxiety (48%), depression (38%), anxiety-depression (10%), schizoid disorders (3%) and personality disorders (1%). Half the patients were referred and almost all were supervised by the general practitioner. The most commonly used drugs were the benzodiazepines (75%) and serotonin re-uptake inhibitors (38%).
Time off for psychiatric reasons tends to last a long time and to recur. 42% of these periods of time off was not initially classified as for psychiatric reasons. Half the patients are shared and supervised jointly with the psychiatrist: thus, the need for good coordination between the two areas.
探寻因精神原因导致的缺勤发生率、持续时间、诊断及治疗情况。
回顾性描述性研究。
巴塞罗那下洛布雷加特县的普霍尔·伊·卡萨达医生健康中心。
对1992年1月至1996年12月期间所有缺勤记录进行审查。分析因精神原因导致的缺勤情况及其时长、随访、复发及治疗情况。
71例患者曾因精神原因出现过缺勤情况（男性占34%，女性占66%）。平均年龄为38岁（标准差10）。首次缺勤期间（n = 71）的平均缺勤天数为155天（标准差 = 302），第二次（n = 21）为209天（标准差 = 268），第三次（n = 8）为187天（标准差 = 327），第四次（n = 3）为206天（标准差 = 326）。缺勤总天数达16894天。4%的患者因精神原因获得病残状态。按病理情况，首次缺勤最常见的初始原因依次为：精神疾病（58%）、骨肌肉疾病（17%）、神经系统及感觉器官疾病（7%）和消化系统疾病（6%）。首次缺勤的精神原因包括：焦虑（48%）、抑郁（38%）、焦虑 - 抑郁（10%）、分裂样障碍（3%）和人格障碍（1%）。半数患者被转诊，几乎所有患者由全科医生监管。最常用药物为苯二氮䓬类（75%）和5-羟色胺再摄取抑制剂（38%）。
因精神原因导致的缺勤往往持续时间长且易复发。这些缺勤时段中有42%最初未被归类为因精神原因导致。半数患者由精神科医生和其他科室共同管理和监管，因此，这两个领域之间需要良好的协调。
