Kuhn W F, Bell R A, Netscher R E, Seligson D, Kuhn S J
Department of Psychiatry and Behavioral Sciences, University of Louisville, School of Medicine, KY 40205.
Int J Psychiatry Med. 1989;19(2):145-54. doi: 10.2190/j248-rwx0-6ekq-hq20.
Of 200 consecutively admitted leg fracture patients, 101 consented to be screened for psychopathology using the BSI and SMAST questionnaires. Probable cases of psychopathology were referred for diagnostic psychiatric evaluation. Of the participants, 80.2 percent were identified as possible psychiatric cases. Diagnostic evaluation revealed high prevalence of substance abuse (66.0%), depression (46.8%), and personality pathology (38.3%). Accident victims tended to be single young males. Accidents occurred mostly during leisure hours, and were often associated with alcohol use. Psychiatric assistance appears essential in the management of such patients. Psychiatrists need to be especially knowledgeable about chemical dependency, interpersonal issues and psychotherapy.
在连续收治的200例腿部骨折患者中，101例同意使用症状自评量表（BSI）和密歇根酒精筛查测试问卷（SMAST）进行精神病理学筛查。疑似精神病理学病例被转介进行诊断性精神科评估。在参与者中，80.2%被确定为可能的精神科病例。诊断评估显示药物滥用（66.0%）、抑郁症（46.8%）和人格病理学（38.3%）的患病率很高。事故受害者往往是单身年轻男性。事故大多发生在休闲时间，且常与饮酒有关。精神科援助在这类患者的管理中似乎至关重要。精神科医生需要对药物依赖、人际关系问题和心理治疗有特别深入的了解。
