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精神科急诊门诊中患有焦虑症、应激相关障碍和躯体形式障碍的患者。

Patients with anxiety disorders, stress related disorders and somatoform disorders in the Psychiatric Emergency Out-patient Clinic.

作者信息

Segrec Nusa, Delić Mirjana, Pregelj Peter

机构信息

University Psychiatric Hospital Ljubljana, Studenec 48, 1260 Ljubljana, Slovenia.

出版信息

Psychiatr Danub. 2008 Jun;20(2):220-3.

Abstract

OBJECTIVES

To establish possible differences in gender, age and urgency between patients with anxiety disorders, stress related disorders and somatoform disorders and patients with other psychiatric diagnoses.

SUBJECTS AND METHODS

2760 consecutive admissions in the Psychiatric Emergency Out-patient Clinic (PEOC) over the period 2004-2005 were included. Data about diagnosis (ICD-10), gender, age and urgency were gathered from medical documentation. Data were compared between two groups of patients according to diagnosis; the first group encompassed anxiety disorders, stress related disorders and somatoform disorders (F 40-F 48) and the second group gathered all other psychiatric diagnoses (others).

RESULTS

One third (36%) of patients examined in PEOC suffered for anxiety disorders, stress related disorders and somatoform disorders. The most common diagnoses within this group were stress related disorders (F 43: 41.7%). Gender ratio was in favour of women in both groups. Significantly more women suffered for anxiety, stress-related and somatoform disorders (63.4% vs. 56.9%, p<0.005). Patients with anxiety, stress-related and somatoform disorders were significantly younger compared with others (40.4 years vs. 45.2 years, p<0.001), and they were significantly less urgent cases compared with others (46.7% vs. 65.3.3%, p<0.001).

CONCLUSION

Anxiety disorders, stress related disorders and somatoform disorders are common in PEOC. The higher percentage of women among these patients is in accordance with data from the literature; lower age might be a consequence of earlier onset of the above mentioned disorders.

摘要

目的

确定焦虑症、应激相关障碍和躯体形式障碍患者与其他精神疾病诊断患者在性别、年龄和紧急程度上可能存在的差异。

对象与方法

纳入2004年至2005年期间在精神科急诊门诊(PEOC)连续就诊的2760例患者。从医疗记录中收集有关诊断(ICD - 10)、性别、年龄和紧急程度的数据。根据诊断将患者分为两组进行数据比较;第一组包括焦虑症、应激相关障碍和躯体形式障碍(F40 - F48),第二组包括所有其他精神疾病诊断(其他)。

结果

在PEOC接受检查的患者中有三分之一(36%)患有焦虑症、应激相关障碍和躯体形式障碍。该组中最常见的诊断是应激相关障碍(F43:41.7%)。两组的性别比均有利于女性。患有焦虑、应激相关和躯体形式障碍的女性明显更多(63.4%对56.9%,p<0.005)。与其他患者相比,患有焦虑、应激相关和躯体形式障碍的患者明显更年轻(40.4岁对45.2岁,p<0.001),并且与其他患者相比,他们的紧急情况明显更少(46.7%对65.3%,p<0.001)。

结论

焦虑症、应激相关障碍和躯体形式障碍在PEOC中很常见。这些患者中女性比例较高与文献数据一致;年龄较低可能是上述疾病发病较早的结果。

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