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女性神经科住院患者的精神疾病发病率及患病行为

Psychiatric morbidity and illness behaviour in female neurological in-patients.

作者信息

Metcalfe R, Firth D, Pollock S, Creed F

机构信息

University Department of Neurology, Manchester Royal Infirmary, UK.

出版信息

J Neurol Neurosurg Psychiatry. 1988 Nov;51(11):1387-90. doi: 10.1136/jnnp.51.11.1387.

Abstract

Ninety three female neurological in-patients were assessed in a collaborative neurological and psychiatric study. An overall prevalence of definite psychiatric disorder of 34% was found, depression being the most common diagnosis. Psychiatric morbidity was most common when the neurologist felt that the presentation could not be explained by a neurological disorder. The majority of such patients had symptoms which could be explained by the psychiatric disorder but a substantial number could not be given a definite diagnosis. The General Health Questionnaire was not found to be a useful screening instrument in this setting.

摘要

在一项神经科与精神科的合作研究中,对93名女性神经科住院患者进行了评估。结果发现,确诊精神障碍的总体患病率为34%,抑郁症是最常见的诊断。当神经科医生认为临床表现无法用神经疾病解释时,精神疾病的发病率最高。这类患者中的大多数有可用精神障碍解释的症状,但有相当一部分无法给出明确诊断。在这种情况下,未发现一般健康问卷是一种有用的筛查工具。

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本文引用的文献

1
Hysteria.癔症
J Psychosom Res. 1980;24(2):53-6. doi: 10.1016/0022-3999(80)90053-7.
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Psychiatric screening on a neurological ward.
Psychol Med. 1980 Feb;10(1):125-32. doi: 10.1017/s0033291700039659.
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What should neurologists do?神经科医生该怎么做?
J Neurol Neurosurg Psychiatry. 1981 Dec;44(12):1059-60. doi: 10.1136/jnnp.44.12.1059.
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Hysteria--a neurologist's view.癔症——一位神经科医生的观点。
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