Neligh G, Barón A E, Braun P, Czarnecki M
Department of Psychiatry, University of Colorado Health Sciences Center, Denver 80262.
Am Indian Alsk Nativ Ment Health Res (1987). 1990 Winter;4(2):43-53. doi: 10.5820/aian.0402.1990.43.
Little is known about panic disorder among American Indians. In a pilot project involving two Northwest Coast Indian villages, community health representatives screened the population for panic disorder, substance abuse, and major depression using DSM-III criteria. Accompanying the screening were subsequent patient education and further evaluation by a psychiatrist, a social worker, and primary care physicians. Of fifty community residents who agreed to take the screening examination, seven were found who met diagnostic criteria for panic disorder. Four of the seven had symptoms of alcohol abuse which complicated the course and diagnosis of panic disorder, and individuals with panic disorder reported more than twice the lifetime prevalence of depression in comparison with other community members. Limitations of the study and refinements of study design are needed in future study discussions.
关于美洲印第安人中的惊恐障碍，人们了解甚少。在一个涉及西北海岸两个印第安村庄的试点项目中，社区健康代表依据《精神疾病诊断与统计手册》第三版标准，对居民进行了惊恐障碍、药物滥用和重度抑郁症的筛查。筛查之后，由一名精神科医生、一名社会工作者和初级保健医生开展患者教育及进一步评估。在同意接受筛查的50名社区居民中，有7人符合惊恐障碍的诊断标准。这7人中有4人有酒精滥用症状，这使惊恐障碍的病程和诊断变得复杂，而且与其他社区成员相比，患有惊恐障碍的个体报告的抑郁症终生患病率是其两倍多。在未来的研究讨论中，需要考虑该研究的局限性并完善研究设计。
