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皮肤科中情绪和行为障碍的早期检测

Early Detection of Emotional and Behavioral Disorders in Dermatology.

作者信息

García-Campayo J, Pérez-Yus M C, García-Bustinduy M, Daudén E

机构信息

Departamento de Psiquiatría, Hospital Universitario Miguel Servet, Universidad de Zaragoza, Instituto de Investigación Sanitaria de Aragón, Zaragoza, España.

Unidad de Investigación de Atención Primaria, Instituto de Investigación Sanitaria de Aragón, Zaragoza, España.

出版信息

Actas Dermosifiliogr. 2016 May;107(4):294-300. doi: 10.1016/j.ad.2015.09.015. Epub 2015 Dec 2.

Abstract

Many skin diseases are associated with mental disorders. When the psychological symptoms are mild, as is often the case in dermatology, it can be difficult to distinguish between normality and the manifestations of a mental disorder. To facilitate the distinction we review the concept of mental disorder in the present article. It is also important to have instruments that can facilitate early detection of psychological disease, i.e. when the symptoms are still mild. Short, simple, self-administered questionnaires have been developed to help dermatologists and other health professionals identify the presence of a mental disorder with a high degree of certainty. In this article, we focus on the questionnaires most often used to detect the 2 most common mental disorders: anxiety and depression. Finally, we describe the circumstances in which it is advisable to refer a dermatological patient to a psychiatrist, who can diagnose and treat the mental disorder in accordance with standard protocols.

摘要

许多皮肤病都与精神障碍有关。在皮肤科,心理症状往往较为轻微,因此很难区分正常状态和精神障碍的表现。为便于区分,我们在本文中回顾了精神障碍的概念。拥有能够促进心理疾病早期检测的工具也很重要,即在症状仍很轻微时进行检测。现已开发出简短、简单的自填式问卷,以帮助皮肤科医生和其他医疗专业人员高度准确地识别精神障碍的存在。在本文中,我们重点关注最常用于检测两种最常见精神障碍——焦虑和抑郁的问卷。最后,我们描述了建议将皮肤科患者转诊给精神科医生的情况,精神科医生可以根据标准方案对精神障碍进行诊断和治疗。

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