Karlsson H, Lehtinen V, Joukamaa M
Department of Psychiatry, University of Turku, Finland.
Gen Hosp Psychiatry. 1995 Jan;17(1):19-25. doi: 10.1016/0163-8343(94)00059-m.
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.
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。