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全科医疗环境中的心理障碍

Psychological disturbance in a general practice setting.

作者信息

Parker G, Brotchie H

出版信息

Aust Fam Physician. 1977 May;6(5):450-2.

PMID:880152
Abstract

One hundred consecutive patients who consulted a general practitioner in Sydney with a new complaint completed the General Health Questionnaire (GHQ), a self-administered instrument designed to assess psychological dysfunction. Although all patients presented somatic symptoms as their principal complaint, 39 per cent scored positively on the GHQ. A direct relationship between severity of psychological disturbance as clinically assessed and GHQ score was observed, while the relationship between the clinically assessed severity of physical dysfunction and GHQ score was an inverse one. At the 10 week follow-up, psychological morbidity had fallen to 23 per cent, a figure akin to a Sydney general population norm. Some implications of these findings are discussed.

摘要

连续100名因新出现的不适症状而向悉尼一位全科医生咨询的患者完成了一般健康问卷(GHQ),这是一种用于评估心理功能障碍的自我管理工具。尽管所有患者均以躯体症状作为主要诉求,但39%的患者在GHQ上得分呈阳性。观察到临床评估的心理障碍严重程度与GHQ得分之间存在直接关系,而临床评估的身体功能障碍严重程度与GHQ得分之间呈反比关系。在10周的随访中,心理发病率降至23%,这一数字与悉尼普通人群的正常水平相近。文中讨论了这些发现的一些意义。

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