Arolt V, Driessen M, Bangert-Verleger A, Neubauer H, Schürmann A, Seibert W
Klinik für Psychiatrie, Medizinischen Universität zu Lübeck.
Nervenarzt. 1995 Sep;66(9):670-7.
The prevalence of psychiatric disorders in general hospital inpatients can be estimated at 30-50%. In Germany, hardly any studies have provided an assessment of prevalence rates and specific treatment necessities. In this study, 400 patients from medical and surgical departments were interviewed with a structured clinical interview. The point prevalence of all psychiatric disorders (clinical diagnoses) was 46.5%. The most prevalent groups of disorders were organic brain syndromes, depressive disorders, and alcoholism. With regard to disease entities, no significant differences between the samples from internal medicine and from surgery could be found. Compared to a German population sample, only organic brain syndromes, depressive reactions and alcohol dependency tend to be higher in a general hospital. Consultation/liaison interventions were found to be necessary in nearly half of the whole sample. In one-fourth of the patients continuous psychiatric care after hospital discharge was required.
综合医院住院患者中精神障碍的患病率估计为30%-50%。在德国，几乎没有任何研究对患病率和具体治疗需求进行过评估。在本研究中，采用结构化临床访谈对400名来自内科和外科的患者进行了访谈。所有精神障碍（临床诊断）的时点患病率为46.5%。最常见的障碍类别为器质性脑综合征、抑郁症和酒精中毒。就疾病实体而言，在内科和外科样本之间未发现显著差异。与德国人群样本相比，综合医院中仅器质性脑综合征、抑郁反应和酒精依赖的患病率往往更高。近一半的样本患者被认为需要会诊/联络干预。四分之一的患者出院后需要持续的精神科护理。
