Wancata J, Benda N, Hajji M, Lesch O M, Müller C
Universitätsklinik für Psychiatrie, Vienna, Austria.
Soc Psychiatry Psychiatr Epidemiol. 1996 Jun;31(3-4):220-6. doi: 10.1007/BF00785771.
A total of 728 patients admitted to the medical, gynaecological and surgical departments of one urban and one rural general hospital in Austria were investigated for psychiatric morbidity. Using the Clinical Interview Schedule and its case criteria, the prevalence of psychiatric morbidity was found to be highest in medical departments (38.2%), followed by surgical departments (32.5%), and lowest in gynaecological departments (20.7%). Among medical and surgical patients, dementia and substance abuse disorders were the most frequent psychiatric categories, while in gynaecological departments neurotic disorders showed the highest frequency. For the sample as a whole, single status (i.e. unmarried, widowed or divorced), lower social class and rural catchment area of the general hospital predicted a high prevalence of psychiatric morbidity in a logistic regression analysis, while complications of childbirth, pregnancy or the puerperium, and diseases of the skin or the musculoskeletal system showed a negative association with psychiatric illness.
奥地利一家城市综合医院和一家农村综合医院的内科、妇科和外科共收治了728例患者，对其进行了精神疾病发病率调查。使用临床访谈表及其病例标准，发现精神疾病发病率在内科最高（38.2%），其次是外科（32.5%），妇科最低（20.7%）。在内科和外科患者中，痴呆和物质滥用障碍是最常见的精神疾病类别，而在妇科，神经症障碍的发病率最高。在整个样本中，在逻辑回归分析中，单身状态（即未婚、丧偶或离婚）、较低的社会阶层以及综合医院的农村服务区域预示着精神疾病的高发病率，而分娩、妊娠或产褥期并发症以及皮肤或肌肉骨骼系统疾病与精神疾病呈负相关。
