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[农村卫生区域中的扩展核心家庭与精神疾病]

[Extended main family and mental disease in a rural health area].

作者信息

Fernández del Palacio M, García Domínguez J C, López Fernández I, Etxebarría Foronda I, Díaz de Alda Aizpurúa M, López Díaz A

机构信息

Centro de Salud de Tineo, Asturias.

出版信息

Aten Primaria. 2000 Jul-Aug;26(3):157-61. doi: 10.1016/s0212-6567(00)78633-1.

DOI:10.1016/s0212-6567(00)78633-1
PMID:10996948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7683987/
Abstract

OBJECTIVE

To check the association between souche family and the incidence of mental illness.

DESIGN

A case-control study.

SETTING

Health Rural Zone (Tineo-Asturias-Spain).

CASE

every person with a new diagnosis of mental illness who has been compiled (CIE-9-CM) the clinical records of the Mental Health Centre. Field-work from 1-1-1996 until 31-12-1997; they could be dead or alive and of fourteen or more years of age, including suicide and suicide attempts without clinical records in the mental health centre and excluding organic psychosis, mental illness caused by organic damage lesion and mentally handicapped (n = 162).

CONTROL

living people of fourteen or more years of age, with diagnosis of current mental illness, after more than one year since their discharge from a mental illness. They will mark five or less than five in the GHQ-28 scale. A systematic random sample was done among all patients registered by computer from the health centre (n = 378). We compiled information about: age, sex, family and personal backgrounds of mental illness, rural or urban context, marital status, education level, family structure and GHQ-28. We carried out univariant and bivariant analysis also we adjusted a logistic regression model (SPSSW7.1).

MAIN RESULTS

In the souche family we obtained a odds ratio equal 3.29 (95% CI, 1.69-6.43).

CONCLUSIONS

The souche family is a risk of mental illness. Research into dynamics and performance should be done.

摘要

目的

检查宗族家庭与精神疾病发病率之间的关联。

设计

病例对照研究。

地点

健康农村区(西班牙阿斯图里亚斯省蒂内奥)。

病例

每一位新诊断为精神疾病且其临床记录已被整理(ICD-9-CM)的患者,来自心理健康中心。实地工作时间为1996年1月1日至1997年12月31日;患者年龄在14岁及以上,无论生死,包括在心理健康中心无临床记录的自杀及自杀未遂案例,排除器质性精神病、由器质性损伤病变引起的精神疾病以及智力障碍患者(n = 162)。

对照

年龄在14岁及以上、已从精神疾病中康复超过一年且目前无精神疾病诊断的在世者。他们在一般健康问卷-28(GHQ-28)量表上的得分不超过5分。从健康中心电脑登记的所有患者中进行系统随机抽样(n = 378)。我们收集了以下信息:年龄、性别、精神疾病的家族和个人背景、城乡背景、婚姻状况、教育水平、家庭结构以及GHQ-28得分。我们进行了单变量和双变量分析,并调整了一个逻辑回归模型(SPSSW7.1)。

主要结果

在宗族家庭中,我们得到的比值比为3.29(95%置信区间,1.69 - 6.43)。

结论

宗族家庭是精神疾病的一个风险因素。应对其动态和表现进行研究。

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