【摘要】 目的:调查综合医院妇科门诊精神障碍的患病率情况。方法:在一所综合医院的妇科门诊连续收集1626名就诊者,应用《问题导向的患者报告》进行筛查。按筛查阳性阴性各半收集其中198名就诊者,由两名精神科医师采用《简明国际神经精神检查》进行精神状况检查,并根据标准DSM-IV做出精神科诊断。结果:妇科门诊就诊患者精神障碍患病率为38%,符合两种精神障碍者为6%。各精神疾病障碍中的患病率较高的为:广泛性焦虑障碍7.38%,抑郁障碍8.76%,躯体化障碍8.40%,心境恶劣7.64%。依据DSM-IV附录条目发现的经前情绪障碍为2.85%,自杀问题(包括自杀意念或自杀未遂)5.71%。结论:妇科门诊患者的精神障碍患病率高,并且以抑郁、焦虑、躯体化等障碍和自杀问题多见。更多还原

【Abstract】 Objective:To explore the prevalence of mental disorders in out-patients of department of gynecology.Methods: 626 outpatients were collected consecutively and screened with "problem oriented patient report"(POPR). 198 of them with nearly half positive in screening and half negative were reviewed by two psychiatrists with MINI plus (mini international neuropsychiatric interview-English version 5.0). The prevalence of certain mental disorders was calculated.Results:The total prevalence of mental disorders was 38%. Six percent of patients fulfilled more than one disorders. Mental disorders commonly seen in gynecology out-clinics included: generalized anxiety disorder (7.38%), depressive disorders (8.76%), somatoform disorder (8.40%), dysthymia (7.64%), pain disorder (4.98%), phobic disorder (3.51%), obsessional disorder (2.27%), hypochondria (1.00%). Apart from disorders mentioned above, there were also 2.85% patients diagnosed as premenstrual dysthymia and 5.71% patients as suicidal problem (attempted suicide or suicide ideation) according to DSM-IV criteria in its appendix.Conclusion:Considerable gynecology outpatients have mental disorders, mainly as depression, anxiety, or somatoform disorders.更多还原