Holm M, Olesen F
Ugeskr Laeger. 1989 Aug 21;151(34):2126-9.
From a multicentre-questionnaire investigation in general practice, the prescription of psychotropic drugs to 3,756 patients is described as regards the object, psychiatric diagnosis and treatment and addiction. Twice as many women as men were prescribed psychotropic drugs but no sex differences of significance were present between the relative distributions of the various objects of prescription. 83-90% of the psychotropic drugs were prescribed as hypnotics or tranquilizers while 9-13% were prescribed for the treatment of psychoses. Two thirds of the psychotropic drugs were prescribed for patients who were considered mentally normal, including those suffering from environmental and psychosocial problems while only 1/3 of the patients had a real psychiatric diagnosis. Between 18 and 81% of the patients for whom psychotropic drugs were prescribed, depending upon the pharmacological group, did not have any real psychiatric illness. In over 50% of the patients, the psychotropic drugs prescribed was the only form of treatment, 17% had received interview treatment from the general practitioner and 17% had received treatment from a specialist in psychiatry or had been admitted to a psychiatric department. Approximately 20% of the patients for whom psychotropic drugs were prescribed were potential or genuine addicts.
通过一项全科医疗多中心问卷调查，对3756名患者的精神药物处方情况进行了描述，涉及处方对象、精神科诊断与治疗以及成瘾情况。接受精神药物处方的女性人数是男性的两倍，但不同处方对象的相对分布在性别上无显著差异。83%至90%的精神药物被开为催眠药或镇静剂，而9%至13%用于治疗精神病。三分之二的精神药物是开给被认为精神正常的患者，包括那些有环境和社会心理问题的患者，而只有三分之一的患者有真正的精神科诊断。根据药物类别，接受精神药物处方的患者中有18%至81%没有任何真正的精神疾病。超过50%的患者，所开的精神药物是唯一的治疗形式，17%的患者接受了全科医生的面谈治疗，17%的患者接受了精神科专科医生的治疗或已入住精神科病房。接受精神药物处方的患者中约20%是潜在或真正的成瘾者。
