Ta K, Westermeyer J, Neider J
Department of Psychiatry, University of Minnesota, Minneapolis, USA.
Psychiatr Serv. 1996 Sep;47(9):975-9. doi: 10.1176/ps.47.9.975.
The study assessed the prevalence and duration of axis III physical disorders and the resulting level of disability among Southeast Asian refugee outpatients with axis I psychiatric disorders.
A total of 266 consecutive patients who were evaluated in a psychiatric outpatient clinic were assessed for the presence of axis III conditions through questions about physical symptoms, a medical history and review of records, physical examination, and laboratory screening. The sample included 158 Hmong, 58 Laotian, 43 Vietnamese, and seven Cambodian patients.
Fifty-five percent of the patients had one or more axis III disorders, most of which were chronic and were not associated with extreme disability. Neurological conditions were most common, and the sequelae of war-related trauma were prominent. No associations were found between the presence of axis III conditions and age, gender, marital status, or ethnic group. In 48 cases, the axis III condition may have caused or exacerbated the axis I condition.
Routine medical history and a physical examination, including a neurological examination, are recommended for all psychiatric patients, including outpatients.
本研究评估了患有轴I精神障碍的东南亚难民门诊患者中轴III躯体疾病的患病率和持续时间以及由此导致的残疾程度。
通过询问躯体症状、病史及病历回顾、体格检查和实验室筛查，对一家精神科门诊连续评估的266例患者进行轴III疾病检查。样本包括158名苗族患者、58名老挝患者、43名越南患者和7名柬埔寨患者。
55%的患者患有一种或多种轴III疾病，其中大多数为慢性疾病，且与极度残疾无关。神经疾病最为常见，与战争相关创伤的后遗症也很突出。未发现轴III疾病的存在与年龄、性别、婚姻状况或种族之间存在关联。在48例病例中，轴III疾病可能导致或加重了轴I疾病。
建议对所有精神科患者，包括门诊患者，进行常规病史询问和体格检查，包括神经学检查。
