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基层医疗中频繁就诊患者的精神疾病发病率

Psychiatric morbidity among frequent attender patients in primary care.

作者信息

Karlsson H, Lehtinen V, Joukamaa M

机构信息

Department of Psychiatry, University of Turku, Finland.

出版信息

Gen Hosp Psychiatry. 1995 Jan;17(1):19-25. doi: 10.1016/0163-8343(94)00059-m.

Abstract

In this study, 96 frequent attender patients in primary care were compared with 466 other primary care patients. The focus was on psychiatric morbidity, current and former psychiatric treatment, and self-perceived need for treatment. The prevalence of psychiatric illness was much greater among frequent attender patients than other patients (54.0% vs. 24.0%, p < 0.001), and subclinical symptoms were common in both groups (34.0% vs. 43.2%). Depression and anxiety were the most common clinical entities among frequent attender patients. However, very few patients had psychiatric treatment and the self-perceived need for treatment was low. The significance of these findings is discussed in the paper.

摘要

在本研究中,对基层医疗中96名频繁就诊患者与466名其他基层医疗患者进行了比较。重点在于精神疾病发病率、当前和既往的精神科治疗以及自我感知的治疗需求。频繁就诊患者中精神疾病的患病率远高于其他患者(54.0%对24.0%,p<0.001),两组中亚临床症状都很常见(34.0%对43.2%)。抑郁症和焦虑症是频繁就诊患者中最常见的临床病症。然而,接受精神科治疗的患者极少,自我感知的治疗需求也很低。本文讨论了这些发现的意义。

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