爱丁堡的诊断变化、锂的使用及躁狂症入院情况
Diagnosis change, lithium use and admissions for mania in Edinburgh.
作者信息
Mander A J
机构信息
University Department of Psychiatry, Royal Edinburgh Hospital, United Kingdom.
出版信息
Acta Psychiatr Scand. 1989 Nov;80(5):434-6. doi: 10.1111/j.1600-0447.1989.tb03002.x.
Admissions for mania have risen significantly in Edinburgh since 1970. Differencing was used to remove time trends; this showed that the rise was not accounted for by diagnosis change (from schizophrenia or personality disorder) or by lithium prescription. The contribution of non-specific factors such as admission policy and the experience of trainee psychiatrists deserves evaluation. If this rise continues there will be significant resource implications for the future.
自1970年以来，爱丁堡因躁狂症入院的人数显著增加。采用差分法消除时间趋势；结果表明，这种增加并非由诊断变化（从精神分裂症或人格障碍转变而来）或锂盐处方所致。诸如入院政策和实习精神科医生经验等非特异性因素的作用值得评估。如果这种增长持续下去，未来将对资源产生重大影响。
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