Corney R H
General Practice Research Unit, Institute of Psychiatry, London.
Br J Gen Pract. 1990 Sep;40(338):365-8.
A sample of patients aged 25-75 years was drawn from one general practice. The patients were sent a postal questionnaire to ascertain whether they had had a personal or emotional problem in the last 10 years and whom they had confided in. Of the 396 respondents 281 (71%) admitted to having had such a problem. It was found that significantly more women then men had had a problem. Of these 281 individuals, 94% had confided in someone, mainly friends and relatives, 47% had consulted one or more professionals or agencies and 37% had confided in their general practitioner. Although the majority had found the contact with the agency or professional helpful, those with depression/anxiety or problems following a bereavement were less likely to feel that they had been helped. The provision of practical advice, sympathy and support were most often mentioned as being helpful. This study demonstrates the important role of the general practitioner in the management and treatment of psychosocial problems.
从一家普通诊所抽取了一组年龄在25至75岁之间的患者样本。向这些患者发送了一份邮寄问卷,以确定他们在过去10年中是否有个人或情感问题,以及他们向谁倾诉过。在396名受访者中,281人(71%)承认有过这样的问题。结果发现,有问题的女性明显多于男性。在这281个人中,94%的人向他人倾诉过,主要是朋友和亲戚,47%的人咨询过一个或多个专业人士或机构,37%的人向他们的全科医生倾诉过。尽管大多数人认为与机构或专业人士的接触有帮助,但患有抑郁症/焦虑症或在经历丧亲之痛后有问题的人不太可能觉得自己得到了帮助。提供实用建议、同情和支持最常被提及是有帮助的。这项研究表明了全科医生在心理社会问题管理和治疗中的重要作用。