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一个发展中国家精神科患者的心身障碍

Psychosomatic disorders in psychiatric patients in a developing country.

作者信息

Chaturvedi S K, Michael A

机构信息

Department of Psychiatry, National Institute of Mental Health and Neuro-Sciences, Bangalore, India.

出版信息

Int J Soc Psychiatry. 1988 Summer;34(2):123-9. doi: 10.1177/002076408803400206.

DOI:10.1177/002076408803400206
PMID:3410657
Abstract

This study reports the prevalence of psychosomatic disorders in psychiatric patients in India. The psychosomatic disorders studied were hypertension, peptic ulcer, bronchial asthma, rheumatoid arthritis, ischaemic heart disease and chronic pain. 21.5% of psychiatric patients had psychosomatic illnesses. Fifty five cases had two psychosomatic illnesses. Chronic pain (14.4%) and hypertension (9.9%) were the commonest. Patients with psychosomatic disorders were significantly more often older in age, females, married and from an urban habitat. Neurotic illness was the commonest diagnosis in them. Psychosis was significantly and inversely associated with psychosomatic disorders. This report emphasises the need for as much attention on psychosomatic problems in developing countries as in affluent ones.

摘要

本研究报告了印度精神科患者中的心身疾病患病率。所研究的心身疾病包括高血压、消化性溃疡、支气管哮喘、类风湿性关节炎、缺血性心脏病和慢性疼痛。21.5%的精神科患者患有心身疾病。55例患者患有两种心身疾病。慢性疼痛(14.4%)和高血压(9.9%)最为常见。患有心身疾病的患者年龄更大、女性居多、已婚且来自城市地区的情况更为常见。神经症是他们最常见的诊断。精神病与心身疾病显著负相关。本报告强调,发展中国家对心身问题的关注应与富裕国家一样多。