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基层医疗保健中的轻度精神疾病:患病率、性质及严重程度。

Minor psychiatric morbidity in primary health care: prevalence, nature and severity.

作者信息

el-Rufaie O E, Absood G H

机构信息

Faculty of Medicine and Health Sciences, U.A.E. University, Al Ain.

出版信息

Int J Soc Psychiatry. 1993 Autumn;39(3):159-66. doi: 10.1177/002076409303900302.

Abstract

The Clinical Interview Schedule (CIS) (Goldberg et al. 1970) was applied in a study investigating the prevalence rate, nature and severity of minor psychiatric disorders among U.A.E. nationals attending a primary health care centre in Al Ain, United Arab Emirates (U.A.E.). The total prevalence rate of minor psychiatric morbidity, among the group of attenders who were interviewed, was 27.6%. The morbidity was higher among females (31.9%), than males (20.3%). The highest morbidity rate among the entire sample occurred among the 35-54 year age group. The commonest diagnoses encountered were neurotic depression (55%), anxiety-depressive states (13.3%) and anxiety states (11.7%). The distribution of diagnostic entities was similar among males and females except for anxiety-depressive states which were more common in females. The prevalence of neurotic depression and anxiety-depression states were highest in the middle age group, while anxiety states were highest among the young age group. The overall severity rate (OSR) among the identified cases was found to be ranging between mild and moderate severity.

摘要

临床访谈表(CIS)(戈德堡等人,1970年)被应用于一项研究中,该研究调查了在阿拉伯联合酋长国(阿联酋)艾因市一家初级医疗保健中心就诊的阿联酋国民中轻度精神障碍的患病率、性质和严重程度。在接受访谈的就诊者群体中,轻度精神疾病的总患病率为27.6%。女性(31.9%)的患病率高于男性(20.3%)。整个样本中患病率最高的是35 - 54岁年龄组。最常见的诊断是神经性抑郁症(55%)、焦虑抑郁状态(13.3%)和焦虑状态(11.7%)。除了焦虑抑郁状态在女性中更常见外,诊断实体在男性和女性中的分布相似。神经性抑郁症和焦虑抑郁状态的患病率在中年组最高,而焦虑状态在青年组最高。在确诊病例中,总体严重程度率(OSR)被发现介于轻度和中度严重程度之间。

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