基层医疗诊所中医生对心理困扰的检测。

Physicians' detection of psychological distress in primary-care clinics.

作者信息

Maoz B, Rabinowitz S, Mark M, Antonovsky H, Ribak J, Kotler M

机构信息

Psychiatric Department, Soroka Medical Center, Beersheva, Israel.

出版信息

Psychol Rep. 1991 Dec;69(3 Pt 1):999-1003. doi: 10.2466/pr0.1991.69.3.999.

DOI:10.2466/pr0.1991.69.3.999

PMID:1784699

Abstract

This study investigated the amount of psychological distress reported by 182 soldiers in the Israeli military and compared soldiers' self-ratings of distress with ratings by military physicians of observed distress. Comparisons indicated a low detection rate by physicians with only 13% of self-reported cases of emotional distress identified. This and several related findings were taken to indicate shortcomings in medical care. Possible remedies include additional psychiatric training for military physicians, less frequent rotation of physicians to allow for more stable care, and the initiation of mental health education among soldiers.

摘要

本研究调查了182名以色列军人报告的心理困扰程度，并将士兵对困扰的自我评分与军医对观察到的困扰的评分进行了比较。比较结果显示，医生的检出率较低，仅识别出13%的自我报告情绪困扰病例。这一情况以及其他一些相关发现被认为表明了医疗护理存在缺陷。可能的补救措施包括为军医提供额外的精神病学培训、减少医生的频繁轮岗以提供更稳定的护理，以及在士兵中开展心理健康教育。