Department of Psychiatry, Indiana University School of Medicine, 1111 W. 10th St., Psychiatry Building, Indianapolis, IN 46202, USA.
Psychiatr Serv. 2010 Feb;61(2):196-9. doi: 10.1176/ps.2010.61.2.196.
This study examined the diagnostic and clinical features of deaf psychiatric inpatients.
Archival clinical data for deaf and hard-of-hearing adults (N=30) were compared with data for a random sample of hearing adults (N=60) admitted to a state psychiatric hospital from 1998 to 2008.
Significant differences were found between deaf and hearing inpatient groups in the frequency of impulse control disorders (23% versus 2%), pervasive developmental disorders (10% versus 0%), substance use disorders (20% versus 45%), mild mental retardation (33% versus 3%), and personality disorders (17% versus 43%). The deaf group had a larger proportion with diagnoses of psychotic disorder not otherwise specified (17% versus 2%). Deaf inpatients had longer hospitalizations than hearing inpatients (17 months versus ten months).
Clinicians working with the underserved, understudied population of deaf and hard-of-hearing psychiatric inpatients should be aware of the cultural and linguistic differences in assessment and treatment and make efforts to modify their approach.
本研究旨在探讨聋哑精神病住院患者的诊断和临床特征。
将 1998 年至 2008 年期间入住州立精神病院的聋哑和重听成年患者（N=30）的档案临床数据与随机抽取的听力正常成年患者（N=60）的数据进行比较。
聋哑住院患者组与听力住院患者组在冲动控制障碍（23%对 2%）、广泛性发育障碍（10%对 0%）、物质使用障碍（20%对 45%）、轻度智力障碍（33%对 3%）和人格障碍（17%对 43%）的发生率方面存在显著差异。聋人组未特指的精神病性障碍的诊断比例较高（17%对 2%）。与听力住院患者相比，聋哑住院患者的住院时间更长（17 个月对 10 个月）。
与聋哑和重听精神病住院患者这一服务不足且研究较少的人群合作的临床医生应该意识到评估和治疗方面的文化和语言差异，并努力调整他们的方法。
