Nichol H
Can J Psychiatry. 1979 Oct;24(6):521-31. doi: 10.1177/070674377902400607.
The characteristics of adolescents aged 15-19 years who received psychiatric treatment for the first time in British Columbia in 1966 are considered. Females predominated substantially over males, as did those living in urban areas over those in rural ones. Somatic, psychological, behavioural and suicidal presenting problems were commoner in females, with delinquent and academic ones being more frequent in males. Depression, psychoneurosis and personality disorders were commoner in females. Medication was used in conjunction with psychotherapy more frequently in females. Long-term psychotherapy (more than 16 visits to a psychiatric facility) was employed in only 3% of females and 2% of males. Psychiatrists provided the greatest amount of care given. The hypothesis that females from rural areas living in the city constitute a vulnerable group of individuals more likely than their adolescent peers to seek psychiatric care requires evaluation in a further study.
本文考虑了1966年在不列颠哥伦比亚省首次接受精神治疗的15至19岁青少年的特征。女性在数量上大大超过男性,居住在城市地区的青少年也比农村地区的多。女性出现躯体、心理、行为和自杀问题的情况更为常见,而男性出现犯罪和学业问题的情况更为频繁。抑郁症、神经症和人格障碍在女性中更为常见。女性更频繁地将药物治疗与心理治疗结合使用。只有3%的女性和2%的男性接受了长期心理治疗(到精神科机构就诊超过16次)。精神科医生提供的护理最多。农村地区生活在城市的女性比同龄人更容易寻求精神护理这一假设,需要在进一步的研究中进行评估。