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全科医生在精神疾病管理中的作用。

The general practitioner's role in the management of psychiatric illness.

作者信息

Ress W L

出版信息

J Int Med Res. 1977;5(1 Suppl):126-31.

PMID:863082
Abstract

Psychiatric illness is of major social and medical importance. At least one fifth of the patients seen by doctors in general practice suffer predominantly from mental illness. Only one in twenty of these patients suffering from psychiatric disorders are referred to the hospital and specialist services. The general practitioner therefore deals with the bulk of psychaitric illnesses which constitutes a problem of considerable magnitude. Psychiatric illnesses may be considered in terms of the distrubance they cause in mental state. The following aspects of mental state are considered: consciousness, memory, mood, thinking, intelligence and personality. Disorders of each of these components of mental state are described and their management discussed.

摘要

精神疾病具有重大的社会和医学意义。在普通科医生诊治的患者中,至少五分之一主要患有精神疾病。这些患有精神疾病的患者中,只有二十分之一会被转诊至医院和专科服务机构。因此,全科医生应对大部分精神疾病,这构成了一个相当严重的问题。精神疾病可以根据其对精神状态造成的干扰来考量。精神状态的以下几个方面会被纳入考量:意识、记忆、情绪、思维、智力和人格。文中将描述精神状态各组成部分的紊乱情况,并讨论其治疗方法。

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