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精神疾病就诊途径及其影响因素
引用本文:施慎逊,陆峥,诸索宇.精神疾病就诊途径及其影响因素[J].中华医学杂志,2000,80(1):75-78.
作者姓名:施慎逊  陆峥  诸索宇
作者单位:上海医科大学华山医院精神医学教研室(施慎逊!200030,诸索宇!200030,王志阳!200030),上海铁道大学甘泉医院(陆峥),上海市精神卫生中心(徐筠,杨卫敏,邱宏)
摘    要:目的 探讨不同精神疾病就诊途径及其影响因素。方法 采用自制《精神疾病就诊途径调查表》调查首诊于精神科的病人398例。结果 50%的躁狂症、66%的精神分裂症、近90%的抑郁症和神经症首诊于非精神科。80%不首诊于精神科的理由,视病情为正常现象、性格、思想和情绪问题。1/3的病人患病1年后才来专科就诊。其中多数病人在非精神科机构接受了多种检查和治疗。近10%的抑郁症、神经症和精神分裂症首诊精神科前已

关 键 词:精神疾病  就诊途径  影响因素  抑郁症  精神分裂症
修稿时间:1999-08-31

Seeking behavior of patients with mental disorders and interfering factors
SHIShenxun,LUZheng,ZHU Suoyu,etal.Seeking behavior of patients with mental disorders and interfering factors[J].National Medical Journal of China,2000,80(1):75-78.
Authors:SHIShenxun  LUZheng  ZHU Suoyu  etal
Institution:Department of Psychiatry, Huashan Hospital of Shanghai Medical University, Shanghai 200040, China.
Abstract:Objective Toapproachdifferenthelp seekingbehavioranditseffectsonpatientswithmental illness Methods Weinvestigatedthepatientsfirstseekinghelpinpsychiatrydepartment,byapplyingthescale ofhelp seekingbehaviorofmentalillness Results Thereweresignificantdifferencesamongdifferentmental disorders 5 0 %patientswithmania ,66%withschizophrenia ,andabout 90 %withdepressionorneurosisfirst wenttogeneralhospitalwhentheirillnessbegan About 80 %patientsconsideredtheirsymptomsasnormal, temperament,andmoodproblems Thecourseofone thirdpatientswasoneyear,andmostpatientsweretreated withtraditionalherbs,westdrugsandtests Nearly 10 %patientswithdepression ,neurosisandschizophrenia spentmorethen 10 0 0 0yuanbeforeseekingthedoctorinpsychiatry Conclusion Nowthenitisstillamain problemforpatientswithmentaldisordersinseekingbehavior Wesuggestthatthepropagandaoftheknowledgeof mentalhealthshouldbepaidmoreattention ,especiallyforthepeopleincommunityanddoctorsingeneral hospital
Keywords:Depression  Manicdisorder  Schizophrenia  Neuroticdisorder
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