Adeyemi J D
Department of Psychiatry, University College Hospital, Ibadan, Nigeria.
J Psychosom Res. 1996 Nov;41(5):427-33. doi: 10.1016/s0022-3999(96)00194-8.
The 77 (47 females, 30 males) in-patient referrals to the Psychiatric Department of the University College Hospital, Ibadan, Nigeria, over a 1-year period, were compared with a control sample of 75 (45 females, 30 males) unreferred patients. The low referral rate of 0.8%, after excluding deliberate self-harm (relatively infrequent in Nigeria), was comparable to reports in Western literature. Treatable minor psychiatric morbidity, mainly anxiety and depressive disorders, occurred in 41.3% of the controls. Sixty-eight percent of those referred had definite mental disorders, most commonly psychoses (50.7%), especially delirium (29.9%). Infectious disorders, notably Salmonella typhi infection, were the most predominant physical etiological factors. The results are discussed and the implications highlighted.
在一年时间里，尼日利亚伊巴丹大学学院医院精神科接收了77例住院转诊患者（47名女性，30名男性），并与75例未转诊患者（45名女性，30名男性）的对照样本进行了比较。排除故意自伤情况（在尼日利亚相对不常见）后，0.8%的低转诊率与西方文献中的报道相当。41.3%的对照患者患有可治疗的轻度精神疾病，主要是焦虑症和抑郁症。转诊患者中有68%患有明确的精神障碍，最常见的是精神病（50.7%），尤其是谵妄（29.9%）。感染性疾病，尤其是伤寒沙门氏菌感染，是最主要的身体病因。对结果进行了讨论并强调了其意义。
