Poveda Monge F, Royo Garrido A, Aldemunde Pérez C, Fuentes Cuenca R, Montesinos de Astorza C, Juan Ten C, Ortolà Paris P, Oltra Masanet J A
Centre de Salut Pego I Les Valls. Ctra. Dénia, s/n. 03780 Pego, Alacant.
Aten Primaria. 2000 Oct 31;26(7):446-52. doi: 10.1016/s0212-6567(00)78701-4.
To calculate the prevalence of psychological morbidity and anxiety about death among patients. To observe the association of these variables with the presence of chronic illness, consumption of psychiatric drugs and frequency of attendance.
Cross-sectional, descriptive study.
Semi-urban primary care centre.
The study was proposed to 281 patients and accepted by 226 over 18 years old, selected systematically from among 1829 people who attended for consultation between May and July 1999. We calculated 30% prevalence of psychological morbidity.
Face-to-face Interviews and questionnaires using the Goldberg Anxiety and Depression scales and Templer's scale of Anxiety about death. 63.7% women and 36.3% men responded, with an average age of 52.2 (SD 16.2). Positive Anxiety and Depression scale (prevalence of psychological morbidity) 55.3%; 61.8% in women and 43.9% in men (p = 0.009). Mean score on scale of anxiety about death 6.08 (SD 3.15); 6.66 in women (SD 2.67) and 5.05 in men (SD 2.67) (p < 0.0005). In over-attenders, anxiety about death was 6.61 (SD 3.23); and in those who are not, 5.81 (SD 3.10) (p = 0.074). The group with psychiatric morbidity had 38.4 mean visits (SD 27.28) against 35.5 (SD 22.59) for those without psychiatric morbidity (NS). In patients with psychiatric morbidity, the mean on the scale of anxiety about death was 7.51 (SD 3.33); and 5.33 (2.65) in patients without it (p < 0.0005).
High prevalence of psychiatric morbidity. The majority are women, who have a mean value of anxiety about death which is greater than men's. We found no association between anxiety about death and over-attendance. The patients with psychiatric morbidity are more anxious about death. Chronic illness, age and consumption of psychiatric drugs are linked to a greater use of the clinic. We only found a relationship between psychiatric morbidity and a greater demand for health-care among the over-70s.
计算患者心理疾病和对死亡焦虑的患病率。观察这些变量与慢性病、精神科药物使用和就诊频率之间的关联。
横断面描述性研究。
半城市初级保健中心。
该研究面向281名患者提出，226名18岁以上患者接受，从1999年5月至7月前来咨询的1829人中系统选取。我们计算出心理疾病患病率为30%。
使用戈德堡焦虑和抑郁量表以及坦普勒死亡焦虑量表进行面对面访谈和问卷调查。63.7%为女性，36.3%为男性做出回应，平均年龄52.2岁（标准差16.2）。焦虑和抑郁量表呈阳性（心理疾病患病率）为55.3%；女性为61.8%，男性为43.9%（p = 0.009）。死亡焦虑量表平均得分6.08（标准差3.15）；女性为6.66（标准差2.67），男性为5.05（标准差2.67）（p < 0.0005）。在就诊频繁者中，死亡焦虑为6.61（标准差3.23）；在非就诊频繁者中为5.81（标准差3.10）（p = 0.074）。有精神疾病的组平均就诊38.4次（标准差27.28），无精神疾病的组为35.5次（标准差22.59）（无显著差异）。有精神疾病的患者中，死亡焦虑量表平均分为7.51（标准差3.33）；无精神疾病的患者为5.33（2.65）（p < 0.0005）。
精神疾病患病率高。大多数是女性，她们对死亡焦虑的平均值高于男性。我们发现死亡焦虑与就诊频繁之间无关联。有精神疾病的患者对死亡更焦虑。慢性病、年龄和精神科药物使用与更多地利用诊所相关。我们仅发现精神疾病与70岁以上人群对医疗保健的更大需求之间存在关系。
