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[Can we detect mental disorders in primary care? Usefulness and agreement of 2 diagnostic instruments].[我们能否在初级保健中检测出精神障碍？两种诊断工具的实用性和一致性]
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2
[Prevalence of psychiatric disorders in primary care using the PRIME-MD questionnaire].
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3
[Overattendance at primary care: a study of psychosocial factors].[基层医疗过度就诊：社会心理因素研究]
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4
The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10.《迷你国际神经精神病学访谈量表（M.I.N.I.）》：一种针对《精神疾病诊断与统计手册》第四版（DSM-IV）和《国际疾病分类》第十版（ICD-10）的结构化诊断性精神科访谈量表的开发与验证
J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57.
5
[Prevalence of mental disorders in the general population of Catalonia. Team of the Health Survey of Catalonia].[加泰罗尼亚普通人群中的精神障碍患病率。加泰罗尼亚健康调查团队]
Gac Sanit. 1998 Jul-Aug;12(4):153-9. doi: 10.1016/s0213-9111(98)76465-9.
6
The impact of recent emotional distress and diagnosis of depression or anxiety on the physician-patient encounter in family practice.近期情绪困扰以及抑郁症或焦虑症诊断对家庭医疗中医患互动的影响。
J Fam Pract. 1998 May;46(5):410-8.
7
[Relationship between anxiety and family dynamics].
Aten Primaria. 1998 Jan;21(1):29-34.
8
Mental health in primary care. An epidemiological study of morbidity and use of health resources.基层医疗中的心理健康。一项关于发病率和卫生资源利用的流行病学研究。
Br J Psychiatry. 1997 Jun;170:529-35. doi: 10.1192/bjp.170.6.529.
9
[A method of detection psychosocial problems at the family physician's office].[一种在家庭医生诊所检测心理社会问题的方法]
Aten Primaria. 1997 Feb 28;19(3):133-7.
10
ABC of mental health. Common mental health problems in primary care.心理健康ABC。基层医疗中的常见心理健康问题。
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[家庭功能失调作为精神疾病的诱发因素。这种关系存在吗？]

[Family dysfunction as predisposing factor of mental disease. Does that relationship exist?].

作者信息

Marcas Vila A, Mariscal Labrador E, Muñoz Pérez M A, Olid Cobos F, Pardo Remesal M J, Rubio Simón E, Ruiz Ruiz A

机构信息

Institut Català de la Salut, Unitat Docent de Medicina Familiar i Comunità ria Centre.

出版信息

Aten Primaria. 2000 Oct 31;26(7):453-8. doi: 10.1016/s0212-6567(00)78702-6.

DOI:10.1016/s0212-6567(00)78702-6
PMID:11268544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7688614/
Abstract

OBJECTIVES

The purpose is to describe the relationship between family disfunction and mental disorder. The secondary objective is to know the prevalence and distribution of mental disorders in primary care attended population.

DESIGN

A cross-sectional study was conducted in a primary care setting.

PATIENTS AND METHODS

Random sample was selected over 280 subjects from consultant population. The variables (family function, family structure, social and economic conditions and mental disorders) were collected through interview. APGAR test and Mini International Neuropsychiatric Interview test were performed.

RESULTS

264 patients were finally included (64% women). Mean age was 45.6 years (SD 16.7). Mental disorders were detected in 87 patients (33%). The most prevalent disorders were generalized anxiety disorder, dysthymia and major depression, family disfunction was found in 32 patients (12.3%). Prevalence of mental disorders wasn't statistically different in the group with family disfunction.

CONCLUSION

Mental disorders are a common problem between primary care attended population. There wasn't any association between family disfunction and mental disorders, because of the limitations in the APGAR test in detecting family disfunction.

摘要

目的

描述家庭功能失调与精神障碍之间的关系。次要目的是了解基层医疗服务人群中精神障碍的患病率及分布情况。

设计

在基层医疗环境中开展一项横断面研究。

患者与方法

从咨询人群中随机抽取280余名受试者作为样本。通过访谈收集变量（家庭功能、家庭结构、社会经济状况及精神障碍）。进行APGAR测试和迷你国际神经精神访谈测试。

结果

最终纳入264例患者（64%为女性）。平均年龄为45.6岁（标准差16.7）。87例患者（33%）被检测出患有精神障碍。最常见的障碍为广泛性焦虑障碍、心境恶劣障碍和重度抑郁症，32例患者（12.3%）存在家庭功能失调。家庭功能失调组的精神障碍患病率无统计学差异。

结论

精神障碍是基层医疗服务人群中的常见问题。由于APGAR测试在检测家庭功能失调方面存在局限性，家庭功能失调与精神障碍之间不存在任何关联。