Krzystanek Marek, Krupka-Matuszczyk Irena
Katedry i Kliniki Psychiatrii i Psychoterapii SAM w Katowicach.
Psychiatr Pol. 2003 Nov-Dec;37(6):1073-82.
Telepsychiatry is a medical service with a use of contemporary communication technologies. Internet and electronic mail are included.
The aim of the study was to examine the use of electronic mail in psychiatric advices.
Anonymous electronic mail (327) sent to the author from June 2001 to May 2002 were selected. They were then processed according to the following criteria: patient age and gender, person who was a subject of consultation, reason and subject of a consultation and prevailing symptoms of a disease. Data frequencies were obtained.
75% of patients referred their own psychiatric problem. The most frequent reasons of consultation were: a cry for help (44%), question about a disease (27%), consultation of a diagnosis (16%) or a therapy (13%). The biggest groups of symptoms related to fear (38%), disturbances of mood (18%), schizophrenic symptoms (13.5%) and sexual dysfunctions (10.5%).
Psychiatrists on the Internet may expect an increase of electronic mail applicability in psychiatric advising. There is a need of medical, legal and ethical regulations of by-Internet doctor-patient relationship. Electronic mail may be treated as a source of knowledge on psychopathological symptoms and epidemiology of mental disturbances amongst the internet users.
远程精神病学是一种利用当代通信技术的医疗服务。其中包括互联网和电子邮件。
本研究的目的是考察电子邮件在精神科咨询中的应用。
选取2001年6月至2002年5月间发送给作者的327封匿名电子邮件。然后根据以下标准进行处理：患者年龄和性别、咨询对象、咨询原因和主题以及主要疾病症状。得出数据频率。
75%的患者提及自身的精神问题。最常见的咨询原因是：求助（44%）、关于疾病的问题（27%）、诊断咨询（16%）或治疗咨询（13%）。最大的症状类别与恐惧（38%）、情绪障碍（18%）、精神分裂症症状（13.5%）和性功能障碍（10.5%）有关。
互联网上的精神科医生可能会预期电子邮件在精神科咨询中的适用性增加。需要对互联网医患关系进行医学、法律和伦理规范。电子邮件可被视为了解互联网用户精神病理症状和精神障碍流行病学知识的来源。
