Joukamaa M, Lehtinen V, Karlsson H
Department of Psychiatry, University of Turku, Finland.
Acta Psychiatr Scand. 1995 Jan;91(1):52-6. doi: 10.1111/j.1600-0447.1995.tb09742.x.
The ability to detect mental disorders varies greatly among general practitioners in primary health care. The aim of this study was to determine the factors underlying the differences between general practitioners in the ability to recognize mental disorders in Finnish patient populations. The group studied consisted of 1000 randomly selected adult patients of primary care facilities in the city of Turku. The Symptom Checklist (SCL-25) was used as the reference method in the identification of psychiatric cases. According to the SCL-25, one fourth of the sample had mental disorders. A good recognition ability was associated with postgraduate psychiatric training and qualification as a specialist in general practice. Surprisingly, Balint group training, which is a method intended to improve the ability of general practitioners to manage their patients' mental health problems, was associated rather with poor than good detection ability.
在初级卫生保健中，全科医生检测精神障碍的能力差异很大。本研究的目的是确定芬兰患者群体中，全科医生在识别精神障碍能力上存在差异的潜在因素。研究对象包括图尔库市基层医疗设施中随机抽取的1000名成年患者。症状清单（SCL - 25）被用作识别精神病例的参考方法。根据SCL - 25，四分之一的样本患有精神障碍。良好的识别能力与精神科研究生培训以及全科医学专科资格相关。令人惊讶的是，旨在提高全科医生处理患者心理健康问题能力的巴林特小组培训，与较差而非良好的检测能力相关。
