[以工作关系为重点的精神科危机会诊]
[Psychiatric crisis-consultation with a focus on the working relationship].
作者信息
Huber Dorothea, Gastner Judith, Hartmuth Ulrike, Maragkos Markos, Schleu Andrea
机构信息
Institut und Poliklinik für Psychosomatische Medizin, Psychotherapie und medizinische Psychologie, Klinikum rechts der Isar der TU München, Germany.
出版信息
Psychiatr Prax. 2003 Sep;30(6):326-32. doi: 10.1055/s-2003-42167.
OBJECTIVE
Evaluation of a psychiatric emergency service in Munich that was implemented in spring 2000.
METHOD
Socio-demographic and clinical data as well as the working relationship between patients and psychiatrists were documented. 92 psychiatrists rated 137 crisis consultations. 58 patients were able to answer a questionnaire in the acute crisis situation.
RESULTS
The largest diagnostic group consists of patients with affective disorders, followed by patients with neurotic, stress, and somatoform disorders. The results indicate an overall high satisfaction of patients and psychiatrists concerning the efficacy of the crisis consultations. As to be expected from psychotherapy research, socio-demographical factors are hardly of any consequence, whereas relationship-based factors have a considerable influence.
CONCLUSIONS
Directivity and giving structure on the psychiatrist's part can clearly enhance the patient's confidence.
目的
对2000年春季在慕尼黑实施的一项精神科急诊服务进行评估。
方法
记录社会人口统计学和临床数据，以及患者与精神科医生之间的工作关系。92名精神科医生对137次危机咨询进行了评分。58名患者能够在急性危机情况下回答问卷。
结果
最大的诊断组是情感障碍患者，其次是神经症、应激和躯体形式障碍患者。结果表明，患者和精神科医生对危机咨询的效果总体满意度较高。正如心理治疗研究预期的那样，社会人口统计学因素几乎没有任何影响，而基于关系的因素有相当大的影响。
结论
精神科医生的指导性和结构化能够明显增强患者的信心。
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