患有精神疾病的神经科住院患者的疾病行为
Illness behaviour in neurological inpatients with psychiatric morbidity.
作者信息
Lykouras Lefteris, Vassiliadou Maria, Adrachta Dora, Voulgari Argyro, Kalfakis Nikos, Soldatos Constantine R
机构信息
Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
出版信息
Eur Psychiatry. 2006 Apr;21(3):200-3. doi: 10.1016/j.eurpsy.2004.12.013.
OBJECTIVE
The aim of the present study was to examine whether psychiatric morbidity can influence the type of illness behaviour of neurological inpatients.
METHODS
For this purpose, we compared neurological inpatients with and without psychiatric disorders (DSM-IIIR criteria) for the seven scales of Illness Behaviour Questionnaire (IBQ) and searched for possible differences between the two patient subgroups.
RESULTS
Of the 105 neurological inpatients who participated in the study, 54 (51.4%) were diagnosed as having some type of psychiatric disorder. These patients scored significantly higher than patients without psychiatric morbidity in the scale of Irritability. A suggestive trend for higher scores in the scales of Hypochondriasis, Disease Conviction, and Affective Disturbance, and significantly lower score in the scale of Denial, in patients with psychiatric morbidity, were also found.
CONCLUSION
The present study has shown that neurological inpatients with psychiatric morbidity tend to develop more intense illness behaviour than those without. The effect of psychiatric morbidity on certain components of illness behaviour in neurological patients can be taken into account when therapeutic strategies are planned.
目的
本研究旨在探讨精神疾病是否会影响神经科住院患者的疾病行为类型。
方法
为此，我们对符合和不符合精神疾病诊断标准（DSM-IIIR标准）的神经科住院患者进行了疾病行为问卷（IBQ）七个维度的比较，以寻找两组患者之间可能存在的差异。
结果
参与研究的105名神经科住院患者中，54名（51.4%）被诊断患有某种类型的精神疾病。这些患者在易怒维度上的得分显著高于无精神疾病的患者。同时还发现，有精神疾病的患者在疑病、疾病确信和情感障碍维度上有得分更高的趋势，而在否认维度上得分显著更低。
结论
本研究表明，患有精神疾病的神经科住院患者比未患精神疾病的患者更容易表现出更强烈的疾病行为。在制定治疗策略时，可以考虑精神疾病对神经科患者疾病行为某些成分的影响。
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