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[非精神科医院患者中精神障碍的发生率]

[Frequency of psychiatric disorders in nonpsychiatric hospital patients].

作者信息

Künsebeck H W, Lempa W, Freyberger H

出版信息

Dtsch Med Wochenschr. 1984 Sep 21;109(38):1438-42. doi: 10.1055/s-2008-1069391.

Abstract

A total of 322 hospitalized patients in the departments of internal medicine, abdominal and transplant surgery, accident surgery, neurology, ear-nose-throat, and orthopaedic surgery of the Medical Academy of Hannover, were screened with self-assessment tests. The tested patients represented about 78% of all inpatients during the test period. Very ill patients and those over 65 years were excluded. The prevalence of depression (95% confidence limit) was 16.1-24.9%, of severe social anxiety 20.7-30.3% of all patients. Both depression and anxiety were severe in 9.4% of all patients. Thus, taking both disorders together, 31.4-42% of all in-patients are likely to require more detailed psychological-medical diagnosis, and if indicated, psychotherapy. The prevalence of disorders varied greatly between the six departments, highest at 49.2% in internal medicine, lowest at 27.3% in the accident department.

摘要

汉诺威医学院内科、腹部与移植外科、创伤外科、神经科、耳鼻喉科以及矫形外科的322名住院患者接受了自我评估测试筛查。受试患者约占测试期间所有住院患者的78%。病情严重的患者以及65岁以上的患者被排除在外。抑郁症的患病率(95%置信区间)为16.1%至24.9%,严重社交焦虑症的患病率为所有患者的20.7%至30.3%。9.4%的患者同时患有严重的抑郁症和焦虑症。因此,综合这两种疾病来看,31.4%至42%的住院患者可能需要更详细的心理医学诊断,如有必要,还需接受心理治疗。这六种科室中疾病的患病率差异很大,内科最高,为49.2%,事故科最低,为27.3%。

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