Kennedy B L, Schwab J J
University of Louisville School of Medicine, Department of Psychiatry and Behavioral Sciences, Kentucky, USA.
Psychosomatics. 1997 Mar-Apr;38(2):109-12. doi: 10.1016/S0033-3182(97)71478-6.
The purpose of this study was to determine the utilization of medical specialists by anxiety disorder patients. The setting was a university's clinical outpatient drug trails for anxiety disorders. The participants were subjects identified by advertisement and diagnosed by psychiatric interviews and, in some instances, also by structured interviews. The main outcome measures were the subject responses on a questionnaire listing medical specialists. A total of 94 subjects were surveyed. Primary care physicians (family medicine and internal medicine) were seen more often by panic disorder (PD) subjects than by obsessive-compulsive disorder (OCD) or generalized anxiety disorder (GAD) subjects. Gastroenterologists were seen most frequently by the GAD subjects; dermatologists and cardiologists by the OCD subjects; and otolaryngologists, obstetricians-gynecologists, neurologists, and urologists by the PD subjects. The PD subjects saw more specialists than the subjects with the other disorders. Medical specialists need to increase identification of patients with various anxiety disorders to relieve suffering, improve health care practices, and obtain favorable cost:benefit ratios.
本研究的目的是确定焦虑症患者对医学专科医生的利用情况。研究背景是一所大学针对焦虑症开展的临床门诊药物试验。研究参与者是通过广告招募并经精神科访谈确诊的受试者，在某些情况下还经过结构化访谈。主要结局指标是受试者对一份列出医学专科医生的问卷的回答。总共对94名受试者进行了调查。惊恐障碍（PD）受试者比强迫症（OCD）或广泛性焦虑障碍（GAD）受试者更常就诊于初级保健医生（家庭医学和内科）。GAD受试者最常就诊于胃肠病学家；OCD受试者最常就诊于皮肤科医生和心脏病学家；PD受试者最常就诊于耳鼻喉科医生、妇产科医生、神经科医生和泌尿科医生。PD受试者比患有其他疾病的受试者看的专科医生更多。医学专科医生需要加强对各类焦虑症患者的识别，以减轻患者痛苦、改善医疗实践并获得良好的成本效益比。
