Fink P
Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, Risskov, Denmark.
Psychol Med. 1990 Nov;20(4):829-34. doi: 10.1017/s0033291700036515.
On the basis of nationwide patient register data the diagnostic pattern of the medical admissions of a general population (17-49 year-olds; N = 30427) during an 8-year period was studied by comparing those individuals who had been admitted to the psychiatric department (i.e. psychiatric patients) with those individuals who had not. The results suggest that the high utilization of medical admissions by psychiatric patients could not be explained simply by coincident chronic physical illness or particular types of physical disease including the somatic complications of mental disorders. It is more likely to be attributable to other factors such as an increased general susceptibility to physical illness, different forms of illness behaviour, and the process of somatization.
基于全国患者登记数据,通过比较入住精神科的患者(即精神疾病患者)和未入住精神科的患者,研究了普通人群(17 - 49岁;N = 30427)在8年期间的医疗入院诊断模式。结果表明,精神疾病患者较高的医疗入院率不能简单地用同时存在的慢性躯体疾病或特定类型的躯体疾病(包括精神障碍的躯体并发症)来解释。更有可能归因于其他因素,如对躯体疾病的总体易感性增加、不同形式的疾病行为以及躯体化过程。