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[普通医疗实践人群中的精神障碍患病率及危险因素]

[Prevalence of mental disorders and risk factors in a population of a general medical practice].

作者信息

Medina-Mora M E, Padilla G P, Más C C, Ezban B M, Caraveo A J, Campillo S C, Corona J

出版信息

Acta Psiquiatr Psicol Am Lat. 1985 Mar;31(1):53-61.

PMID:4050494
Abstract

The present paper reports the most relevant results from an epidemiologic survey that was carried out in a hospital's general practice service in Mexico. The survey comprises several issues such-as: the validity and standardization of the General Health Questionnaire (GHQ), a screening instrument, designed for the early detection of mental disorders, which is validated against the clinical criteria expressed through the Standardized Psychiatric Interview (SPI), the prevalence of psychiatric disorders which includes type of syndromes and affected subgroups, the relation between the ratings of the SPI and the scales of the GHQ (somatic symptoms, sleep disturbances, social disfunction and severe depression) with demographic variables. From the population attending the service during a period of 5 weeks, a total of 619 patients, to whom the GHQ was administered, were randomly selected. From this sample 364 patients were separately interviewed by means of the SPI. No significant differences were found between the sample and the population regarding age, sex, and educational level. The prevalence of mental disorders obtained for the mixed population was of 34%, being of 26% for men and of 36% for women. The only risk factor found for both populations was the low educational level of the head of the family. In the multiple regression analysis, significant differences were found among some groups in spite of the low predictive power of the studied variables.

摘要

本文报告了在墨西哥一家医院的全科医疗服务中进行的一项流行病学调查的最相关结果。该调查涵盖了几个问题,例如:一般健康问卷(GHQ)的有效性和标准化,这是一种用于早期发现精神障碍的筛查工具,它通过标准化精神病访谈(SPI)所表达的临床标准进行验证;精神障碍的患病率,包括综合征类型和受影响的亚组;SPI评分与GHQ量表(躯体症状、睡眠障碍、社会功能障碍和严重抑郁)与人口统计学变量之间的关系。在为期5周的服务期内就诊的人群中,随机选取了619名接受GHQ调查的患者。从这个样本中,364名患者分别接受了SPI访谈。在年龄、性别和教育水平方面,样本与总体之间未发现显著差异。混合人群中精神障碍的患病率为34%,男性为26%,女性为36%。两个群体中唯一发现的风险因素是户主的低教育水平。在多元回归分析中,尽管所研究变量的预测能力较低,但在一些组之间仍发现了显著差异。

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