UCD School of Medicine and Medical Science, Dublin, UK.
Early Interv Psychiatry. 2012 Aug;6(3):332-40. doi: 10.1111/j.1751-7893.2012.00367.x. Epub 2012 Jun 28.
With general practice potentially having an important role in early intervention of mental and substance use disorders among young people, we aim to explore this issue by determining the prevalence of psychological problems and general practice/health service utilization among young people attending general practice.
A retrospective cross-sectional study of patients attending three general practices in Dublin city.
Among a sample of young people (mostly women, 44% general medical services (GMS) eligible), we observed considerable contact with general practice, both lifetime and for the 2 years of the study. The mean consultation rate was 3.9 consultations in 2 years and psychosocial issues (most commonly stress/anxiety and depression) were documented in 35% of cases. Identification of psychosocial issues was associated with GMS eligibility, three or more doctor consultations, and documentation of smoking and drinking status.
Psychosocial issues are common among young people attending general practice and more work on their epidemiology and further identification in general practice are advocated.
鉴于全科医学在年轻人精神和物质使用障碍的早期干预中可能发挥重要作用，我们旨在通过确定年轻人在全科医疗就诊中心理问题的普遍程度和全科医疗/卫生服务的使用情况来探讨这一问题。
这是一项对都柏林市三家全科医疗就诊中心的患者进行的回顾性横断面研究。
在这例年轻人样本中（主要为女性，44%符合全科医疗服务资格），我们观察到他们与全科医疗有相当多的接触，无论是终生的还是在研究的 2 年期间。平均就诊率为 2 年内 3.9 次就诊，35%的病例记录了心理社会问题（最常见的是压力/焦虑和抑郁）。心理社会问题的识别与全科医疗服务资格、3 次或更多次医生就诊以及吸烟和饮酒状况的记录有关。
心理社会问题在全科医疗就诊的年轻人中很常见，我们提倡进一步研究其流行病学，并在全科医疗中进一步识别这些问题。
