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一家印度医院内科住院患者中的精神障碍

Psychiatric disorders among medical in-patients in an Indian hospital.

作者信息

Deshpande S N, Sundaram K R, Wig N N

机构信息

Department of Psychiatry, Safdarjang Hospital, New Dehli, India.

出版信息

Br J Psychiatry. 1989 Apr;154:504-9. doi: 10.1192/bjp.154.4.504.

Abstract

Psychiatric symptoms among medical in-patients in an Indian hospital were assessed: the SRQ was used as a screening instrument, and those with probable psychiatric disorders were given the PSE and MSE, for further, detailed assessment. The prevalence of psychiatric disorders was 34%, with a further 15% reporting distressing psychiatric symptoms only. The most frequent complaints were delirium and adjustment disorders. They were largely associated with connective tissue, as well as cardiovascular and endocrine, disorders, and were characterised by depression, worrying and irritability. The reliability of the SRQ varied with the cut-off score, which gave optimal specificity and sensitivity when set at 9.

摘要

对一家印度医院的内科住院患者的精神症状进行了评估

使用SRQ作为筛查工具,对那些可能患有精神障碍的患者进行PSE和MSE评估,以进行进一步的详细评估。精神障碍的患病率为34%,另有15%的患者仅报告有令人痛苦的精神症状。最常见的主诉是谵妄和适应障碍。它们主要与结缔组织疾病以及心血管和内分泌疾病有关,其特征为抑郁、焦虑和易怒。SRQ的可靠性随截断分数而变化,当设定为9时,具有最佳的特异性和敏感性。

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