ABHAY K. De, 2nd year Psychiatry Postgraduate Trainee, N.R.S. Medical College and Hospital, Calcutta.
Indian J Psychiatry. 1998 Jan;40(1):73-8.
The rate of psychiatric morbidity in medical in-patients suffering from chronic physical illness is reported to be quite high. In this study, patients with chronic medical illness showed psychiatric morbidity at the rate of 52.5%. According to DSM-IV criteria, the most common diagnosable psychiatric disorder was depressive disorder- 25% mild, 65% moderate and 10% severe. There were significant differences in rates of psychiatric morbidity by age, sex and type of physical illness. This study emphasises the need for close collaboration between psychiatrists and physicians in the comprehensive care of these patients.
患有慢性躯体疾病的住院患者中,精神疾病发病率相当高。本研究中,慢性躯体疾病患者的精神疾病发病率为 52.5%。根据 DSM-IV 标准,最常见的可诊断精神障碍为抑郁障碍-25%为轻度,65%为中度,10%为重度。精神疾病发病率在年龄、性别和躯体疾病类型方面存在显著差异。该研究强调了精神科医生和内科医生在这些患者综合治疗中密切协作的必要性。