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荷兰患者向家庭医生报告的心理和社会方面的诉求。

Psychological and social complaints reported by Dutch patients to their family doctors.

作者信息

Van Zutphen W, Saenger G, Hendrix J

机构信息

Department of Family Practice, Faculty of Medicine, University of Limburg, Maastricht, The Netherlands.

出版信息

Scand J Prim Health Care. 1988 May;6(2):73-6. doi: 10.3109/02813438809009294.

Abstract

Ninety-three percent of all problems and complaints reported by patients aged 21 and older to their family physician dealt with somatic disorders, and only 7% with psychosocial problems. Psychological complaints were evenly distributed among major age groups, and between male and female patients. "Social problems" peaked in the middle-age range. The most frequently reported psychological problems were feeling anxious, nervous or tense; feeling irritable, angry, restless or agitated; experiencing feelings of depression; and disturbances of sleep. Marital problems, problems at work, and problems caring for an ill or disabled relative were the most frequently reported "social" reasons for encounter. More women than men reported feelings of depression and marital problems. Men more often felt irritable, angry, restless or agitated, and had more problems at work.

摘要

21岁及以上的患者向家庭医生报告的所有问题和投诉中,93%涉及躯体疾病,只有7%涉及心理社会问题。心理投诉在主要年龄组以及男性和女性患者之间分布均匀。“社会问题”在中年范围内达到峰值。最常报告的心理问题是感到焦虑、紧张或不安;感到易怒、愤怒、烦躁或激动;经历抑郁情绪;以及睡眠障碍。婚姻问题、工作问题以及照顾生病或残疾亲属的问题是最常报告的“社会”就诊原因。报告有抑郁情绪和婚姻问题的女性多于男性。男性更容易感到易怒、愤怒、烦躁或激动,并且工作中存在更多问题。

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