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[测试一种用于在妇科实践中识别心身疾病患者的筛查策略]

[Testing a screening strategy for identifying psychosomatic patients in gynecologic practice].

作者信息

Hörhold M, Bolduan D, Klapp C, Volger H, Scholler G, Klapp B

机构信息

Abteilung für Psychosomatische Medizin und Psychotherapie, Medizinische Fakultät der Humboldt-Universität zu Berlin.

出版信息

Psychother Psychosom Med Psychol. 1997 May;47(5):156-62.

PMID:9265196
Abstract

In a pilot-study 103 gynecological outpatients answered a gynecological questionnaire (FGB) including items of the (non-gynecological) complaints questionnaire (GBB) and a mood questionnaire (BSF). Cluster analyses of the FGB- and BSF-scores identify four groups. One group, consisting of 26 outpatients (= 25%), has as high GBB- and BSF-scores as a group of 256 psychosomatic in-patients answering these questionnaires at the beginning of their psychosomatic therapy. These 26 outpatients are labeled as high risk patients. Further results show high correlations between all FGB- and GBB-scores among the gynecological outpatients. A significant connection between the four group classification and ten biopsychosocial variables is found only for the variable professional state. The results are seen as a first confirmation of the tested screening-strategy. Moreover they give evidence that further investigations should pay more attention to the connection between job strain and gynecological complaints or disorders.

摘要

在一项试点研究中,103名妇科门诊患者回答了一份妇科问卷(FGB),其中包括(非妇科)主诉问卷(GBB)的项目以及一份情绪问卷(BSF)。对FGB和BSF得分进行聚类分析可识别出四组。其中一组由26名门诊患者组成(占25%),其GBB和BSF得分与一组在身心治疗开始时回答这些问卷的256名身心疾病住院患者一样高。这26名门诊患者被标记为高危患者。进一步的结果显示,妇科门诊患者的所有FGB和GBB得分之间存在高度相关性。仅在职业状态这一变量上发现了四组分类与十个生物心理社会变量之间的显著关联。这些结果被视为对所测试筛查策略的首次证实。此外,它们还证明进一步的研究应更多地关注工作压力与妇科主诉或疾病之间的关联。

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