Marco J C, Bondía A, Flecha J, Sola J L, Facorro M E
Servicio de Anestesia, Hospital Clínico Universitario de Zaragoza.
Rev Esp Anestesiol Reanim. 1995 Feb;42(2):67-70.
To study psychological disorders and personality in a series of patients scheduled to undergo thyroidectomy under general anesthesia. We selected 33 patients who were to undergo thyroidectomy during the second half of 1993. Socio-demographic data were collected and the patients were given the following battery of psychometric tests: Cognitive Mini-Test (CMT), which explores the main cognitive areas; Goldberg's General Health Questionnaire (GHQ-28), which is a tool for screening out probable cases of mental illness (mainly involving affective disorders); and Cattell's Personality Questionnaire 16-PF. With the GHQ-28 we detected a 29.6% prevalence of mental illness before surgery; this figure increased to 33.31% after surgery with a cut-off point of 5/6. Some 3.7% of this series of patients presented general cognitive disorders when evaluated with the CMT. One in 3 patients shows signs of significant mental illness and could benefit from some type of psychological or psychopharmacological support, or even psychiatric treatment in the worst cases. We propose that the anesthetist learn to use these simple instruments for psychopathological evaluation in order to detect problems.
为研究一系列计划在全身麻醉下接受甲状腺切除术的患者的心理障碍和人格。我们选取了1993年下半年计划接受甲状腺切除术的33例患者。收集了社会人口统计学数据，并对患者进行了以下一系列心理测量测试：认知迷你测试（CMT），用于探索主要认知领域；戈德堡一般健康问卷（GHQ - 28），这是一种筛查可能的精神疾病病例（主要涉及情感障碍）的工具；以及卡特尔16种人格因素问卷。使用GHQ - 28，我们检测到手术前精神疾病患病率为29.6%；以5/6为临界点，手术后这一数字升至33.31%。在这组患者中，约3.7%在接受CMT评估时出现一般认知障碍。三分之一的患者表现出明显的精神疾病迹象，在最糟糕的情况下可能需要某种心理或精神药物支持，甚至精神科治疗。我们建议麻醉医生学会使用这些简单的工具进行精神病理学评估，以便发现问题。
