麻风病中的精神障碍：一个未得到充分诊断和治疗的群体。

Mental disorders in leprosy: an underdiagnosed and untreated population.

作者信息

Rocha-Leite Clarissa Iris, Borges-Oliveira Roberta, Araújo-de-Freitas Lucas, Machado Paulo Roberto Lima, Quarantini Lucas C

机构信息

Postgraduate Medicine and Health (PPgMS), Universidade Federal da Bahia, Salvador, Bahia, Brazil.

Psychiatry Service, University Hospital and Department of Neurosciences and Mental Health, Federal University of Bahia, Salvador, Bahia, Brazil.

出版信息

J Psychosom Res. 2014 May;76(5):422-5. doi: 10.1016/j.jpsychores.2014.02.006. Epub 2014 Feb 22.

DOI:10.1016/j.jpsychores.2014.02.006

PMID:24745785

Abstract

OBJECTIVE

To describe the frequency of psychiatric comorbidities in leprosy patients and check if they had been previously diagnosed and were in psychiatric care.

METHOD

The study was conducted with a sample of 120 leprosy patients being treated at two reference hospitals for leprosy in Salvador, Bahia, Brazil. Survey participants were more than 18 years of age, had a confirmed diagnosis of leprosy and was undergoing antimicrobial treatment. Patients were evaluated face-to-face with a socio-demographic questionnaire and the Mini-International Neuropsychiatric Interview (MINI-Plus) in Portuguese. The period of data collection was between October 2009 and June 2012.

RESULTS

The assessment using the MINI-Plus showed that 34 (28.3%) patients did not receive any psychiatric diagnosis and 86 (71.7%) met the criteria for at least one. Of these 86 patients, 25 (20.8%) had one diagnosis, 26 (21.7%) had two diagnoses and the rest, 35 (29.2%), had three or more psychiatric diagnoses. All patients with a moderate or high risk of suicide had one or more psychiatric comorbidities.

CONCLUSION

Leprosy patients have a high prevalence of psychiatric comorbidities. Furthermore, most of them had no previous psychiatric diagnosis and the majority was not undergoing treatment.

摘要

目的

描述麻风病患者精神疾病共病的发生率，并检查他们此前是否已被诊断以及是否接受精神科治疗。

方法

本研究以巴西巴伊亚州萨尔瓦多市两家麻风病参考医院正在接受治疗的120名麻风病患者为样本。调查参与者年龄超过18岁，已确诊麻风病且正在接受抗菌治疗。通过社会人口统计学问卷和葡萄牙语版的简明国际神经精神访谈（MINI-Plus）对患者进行面对面评估。数据收集时间为2009年10月至2012年6月。

结果

使用MINI-Plus评估显示，34名（28.3%）患者未得到任何精神科诊断，86名（71.7%）患者至少符合一项诊断标准。在这86名患者中，25名（20.8%）有一项诊断，26名（21.7%）有两项诊断，其余35名（29.2%）有三项或更多精神科诊断。所有有中度或高度自杀风险的患者都有一种或多种精神疾病共病。