Kessler L G, Cleary P D, Burke J D
Arch Gen Psychiatry. 1985 Jun;42(6):583-7. doi: 10.1001/archpsyc.1985.01790290065007.
Despite extensive documentation of high rates of psychiatric morbidity among primary care patients, there have been, to our knowledge, no US studies following up these patients over time. We analyzed data based on two administrations of the Schedule for Affective Disorders and Schizophrenia-Life-time version (SADS-L) six months apart to 166 attenders at a primary care clinic in Marshfield, Wis. In the short span between interviews, 35% of the study group exhibited at least one Research Diagnostic Criteria disorder, and almost two thirds of these individuals had significant changes in diagnostic status based on SADS-L data. Diagnosis of these transient and episodic cases by the primary care physicians was under 10%, demonstrating the need for careful evaluation of the psychiatric status of primary care patients.
尽管有大量文献记载初级保健患者中精神疾病发病率很高，但据我们所知，美国尚无对这些患者进行长期随访的研究。我们对威斯康星州马什菲尔德一家初级保健诊所的166名就诊者进行了分析，数据基于相隔六个月的两次情感障碍和精神分裂症终身版日程表（SADS-L）调查。在两次访谈的短时间内，35%的研究组患者至少出现一种研究诊断标准所定义的疾病，且基于SADS-L数据，这些患者中近三分之二的诊断状态有显著变化。初级保健医生对这些短暂性和发作性病例的诊断率低于10%，这表明有必要对初级保健患者的精神状态进行仔细评估。
