全科医生在普通人群中精神障碍患者护理中的作用——上巴伐利亚研究结果

The role of the general practitioner in the care of mentally disturbed subjects in the general population--results of the Upper Bavarian Study.

作者信息

Meller I, Fichter M M, Witzke W

机构信息

Psychiatrische Universitatsklinik, Munchen, FDR.

出版信息

Int J Soc Psychiatry. 1989 Winter;35(4):293-302. doi: 10.1177/002076408903500401.

DOI:10.1177/002076408903500401

PMID:2628372

Abstract

The role of the general practitioner in the care of mentally disturbed non-institutionalised persons aged 20 years and older was examined. Data were based on the representative community sample of the Upper Bavarian Field Study with a sample size of 1495 interviewees--aged 20 years and older. The 5-year prevalence of mental illness according to the definition used was 32.8%. 38.5% of all persons, identified as cases, consulted their general practitioner because of psychiatric or emotional problems. Females and the elderly were most likely to have received treatment by their general practitioner. The majority of treated persons were neurotic and psychosomatic patients. The general practitioner provided care for more psychiatric patients than the psychiatrist and for 25% of all "cases", without additional psychiatric consultation.

摘要

研究了全科医生在照顾20岁及以上非住院精神障碍患者方面的作用。数据基于上巴伐利亚实地研究的代表性社区样本，样本量为1495名20岁及以上的受访者。根据所使用的定义，精神疾病的5年患病率为32.8%。所有被确定为病例的人中，38.5%因精神或情绪问题咨询了他们的全科医生。女性和老年人最有可能接受全科医生的治疗。大多数接受治疗的人是神经症和身心疾病患者。全科医生为精神科患者提供的护理比精神科医生更多，并且在没有额外精神科咨询的情况下，为所有“病例”的25%提供了护理。