Department of Psychological Medicine, Institute of Psychiatry, King's College, 10 Cutcombe Road, London, UK.
J Ment Health. 2011 Feb;20(1):60-9. doi: 10.3109/09638237.2010.542787.
Electronic patient records are increasingly used in primary care research, but rarely in psychiatric research. Little is known about how people with pre-existing mental illness respond to public health threats.
To outline the swine flu related concerns and behaviours of mental health patients and to determine whether marked concern was associated with any specific demographic or diagnostic groups.
We searched a database containing electronic patient records from a large mental health trust for references to swine flu made between 15 April and 15 July 2009. Thematic analysis was used to code swine flu related concerns and behaviours. A case-control approach sought to determine whether there were demographic or diagnostic associations with expressing moderate/severe concern about swine flu.
A range of swine flu related behaviours were noted and considerable impact was recorded for some patients. Children and patients with neurotic and somatoform disorders were over-represented amongst those expressing moderate/severe swine flu concerns.
Research databases using electronic clinical records are a useful way to track responses to emerging public health threats. Children receiving mental health care and patients with neurotic and somatoform disorders may be particularly psychologically vulnerable to infectious disease epidemics.
电子患者记录越来越多地用于初级保健研究，但在精神科研究中很少使用。人们对患有先前存在的精神疾病的人对公共卫生威胁的反应知之甚少。
概述精神卫生患者与猪流感相关的担忧和行为，并确定是否有明显的担忧与任何特定的人口统计学或诊断群体有关。
我们在 2009 年 4 月 15 日至 7 月 15 日期间，从一个大型精神卫生信托基金的电子患者记录数据库中搜索了与猪流感相关的参考文献。使用主题分析对与猪流感相关的担忧和行为进行编码。病例对照方法旨在确定对猪流感表示中度/重度关注是否与人口统计学或诊断有关。
注意到了一系列与猪流感相关的行为，并且一些患者的影响记录非常大。在表达中度/重度猪流感担忧的患者中，儿童和患有神经质和躯体形式障碍的患者比例过高。
使用电子临床记录的研究数据库是跟踪对新出现的公共卫生威胁的反应的一种有用方法。接受精神卫生保健的儿童和患有神经质和躯体形式障碍的患者可能特别容易受到传染病流行的影响。
