Reeves R R, Bullen J A
Department of Psychiatry, Louisiana State University Medical School, Shreveport 71130, USA.
J Am Osteopath Assoc. 1995 Jun;95(6):381-7.
A common error by medical students and residents is the inadvertent omission of some part of the mental status examination or failure to screen for a psychiatric diagnosis that is not evident on the patient's presentation. The authors introduce a structured questionnaire and standardized form to guide psychiatric and generalist medical trainees through the mental status examination. Based on criteria from the Diagnostic and Statistical Manual of Mental Disorders--Fourth Edition (DSM-IV), the questionnaire and form are intended to facilitate a psychiatric review of patients without missing key points.
医学生和住院医师常见的一个错误是在精神状态检查时不经意地漏掉某些部分,或者未能筛查出在患者临床表现中不明显的精神疾病诊断。作者引入了一份结构化问卷和标准化表格,以指导精神科和普通科医学实习生进行精神状态检查。基于《精神疾病诊断与统计手册》第四版(DSM-IV)的标准,该问卷和表格旨在促进对患者的精神科评估而不遗漏关键点。