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社区中神经症性障碍的短期转归——缓解的人口统计学和临床预测因素

The short-term outcome of neurotic disorders in the community - demographic and clinical predictors of remission.

作者信息

Tennant C, Hurry J, Bebbington P

出版信息

Aust N Z J Psychiatry. 1981 Jun;15(2):111-6. doi: 10.3109/00048678109159419.

Abstract

A one month longitudinal study of neurotic disorders in a London community was carried out, using the Present State Examination, a structured psychiatric interview. Remission of disorder at the one month follow-up was not significantly associated with demographic variables, although remission was somewhat more common in young single males of higher social class. Remission was significantly related to recent onset of disorder and there was a tendency toward lower rates of both medical consultation and prescription of psychotropic medication in the follow-up period. Surprisingly, perhaps, initial severity of the disorder and syndrome type did not predict remission. The implications of these findings are discussed.

摘要

利用结构化精神科访谈工具“现状检查”,对伦敦一个社区的神经症进行了为期一个月的纵向研究。在一个月的随访中,疾病的缓解与人口统计学变量无显著关联,尽管在社会阶层较高的年轻单身男性中缓解更为常见。缓解与疾病的近期起病显著相关,且在随访期间,就诊和使用精神药物处方的比例均有降低趋势。或许令人惊讶的是,疾病的初始严重程度和综合征类型并不能预测缓解情况。本文讨论了这些发现的意义。

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