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[精神障碍患者的求医行为及干扰因素]

[Seeking behavior of patients with mental disorders and interfering factors].

作者信息

Shi S, Lu Z, Zhu S

机构信息

Department of Psychiatry, Huashan Hospital of Shanghai Medical University, Shanghai 200040, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2000 Jan;80(1):75-8.

Abstract

OBJECTIVE

To approach different help-seeking behavior and its effects on patients with mental illness.

METHODS

We investigated the patients first seeking help in psychiatry department, by applying the scale of help-seeking behavior of mental illness.

RESULTS

There were significant differences among different mental disorders. 50% patients with mania, 66% with schizophrenia, and about 90% with depression or neurosis first went to general hospital when their illness began. About 80% patients considered their symptoms as normal, temperament, and mood problems. The course of one-third patients was one year, and most patients were treated with traditional herbs, west drugs and tests. Nearly 10% patients with depression, neurosis and schizophrenia spent more then 10 000 yuan before seeking the doctor in psychiatry.

CONCLUSION

Now then it is still a main problem for patients with mental disorders in seeking behavior. We suggest that the propaganda of the knowledge of mental health should be paid more attention, especially for the people in community and doctors in general hospital.

摘要

目的

探讨精神疾病患者不同的求助行为及其影响。

方法

我们通过应用精神疾病求助行为量表,对首次到精神科就诊的患者进行调查。

结果

不同精神障碍之间存在显著差异。50%的躁狂症患者、66%的精神分裂症患者以及约90%的抑郁症或神经症患者在发病初期首先前往综合医院就诊。约80%的患者将其症状视为正常的性格、情绪问题。三分之一患者的病程为一年,大多数患者接受传统草药、西药和检查治疗。近10%的抑郁症、神经症和精神分裂症患者在寻求精神科医生治疗之前花费超过1万元。

结论

目前,精神障碍患者的求助行为仍是一个主要问题。我们建议应更加重视心理健康知识的宣传,尤其是针对社区人群和综合医院的医生。

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