al-Ansari E A, Khadadah M E, Hassan K I, Mirza I A
Faculty of Medicine, Kuwait University.
Gen Hosp Psychiatry. 1991 Sep;13(5):319-24. doi: 10.1016/0163-8343(91)90036-v.
This study reports an opinion survey of 211 nonpsychiatrist physicians in two general hospitals who estimated that 16.1% of their patients have psychiatric disorders and that they spent 13.8% of their time in treating the psychiatric components of their patients' illnesses. Physicians indicated that anxiety and psychosomatic and depressive illness were the most frequent psychiatric disorders and that one-third of them would personally treat such disorders without referral to psychiatric consultation. The findings also suggest that adequate undergraduate psychiatric education was associated with increased recognition of psychiatric disorders and more preference for their personal treatment. In addition, it provides a possible explanation for the discrepancy between the high prevalence of psychiatric disorders in general hospital patients and the low referral rate to psychiatric consultation.
本研究报告了一项针对两家综合医院211名非精神科医生的意见调查。这些医生估计，他们的患者中有16.1%患有精神疾病，且他们将13.8%的时间用于治疗患者疾病中的精神方面。医生们指出，焦虑症、身心疾病和抑郁症是最常见的精神疾病，其中三分之一的医生会亲自治疗此类疾病，而不寻求精神科会诊。研究结果还表明，本科阶段充足的精神科教育与对精神疾病的更高认知度以及更倾向于亲自治疗相关。此外，这为综合医院患者中精神疾病的高患病率与低精神科会诊转诊率之间的差异提供了一种可能的解释。
