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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >An international study of the effect of physical ill health on psychiatric recovery in primary care.
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An international study of the effect of physical ill health on psychiatric recovery in primary care.

机译：关于身体疾病对基层医疗机构精神病康复影响的国际研究。

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OBJECTIVE: The aim of this study was to determine the association between physical morbidity and recovery from psychiatric illness in primary care. METHODS: A total of 1252 psychiatric cases were recruited using a 2-stage design from 5447 subjects presenting for primary care in 14 countries. Cases were assessed at the time of screening and 1 year subsequently. Information on physical, psychiatric, and social status was obtained using the Composite International Diagnostic Instrument adapted for use in primary care (CIDI-PHC) and the Groningen Social Disability Schedule (GSDS). Assessments of psychiatric morbidity were also obtained from the patients' family practitioners. RESULTS: Medically explained somatic symptoms were strongly related to psychiatric outcome 1 year later. Whereas just over one half of patients (614 of 1078) with 4 or less medically explained symptoms had recovered from a psychiatric disorder, the percentage recovery fell to 38% (67 of 174) in those with 5 or more medically explainedsymptoms. Patients with 5 or more medically explained symptoms had a 70% increase in risk of remaining a psychiatric case 1 year later after controlling for demographics, country, initial severity of psychiatric disorder, medically unexplained somatic symptoms, and social disability. CONCLUSION: Physical ill health is independently associated with psychologic outcome 1 year after a patient has been seen. The needs of these patients should receive greater attention.
机译：目的：本研究旨在确定物理发病率与初级保健中精神病康复之间的关系。方法：采用分两个阶段的设计，从14个国家/地区的5447名受试者中招募了1252例精神病患者。在筛选时和随后的一年评估病例。有关身体，精神和社会状况的信息是使用适用于初级保健的综合国际诊断工具（CIDI-PHC）和格罗宁根社会残疾时间表（GSDS）获得的。还从患者的家庭医生那里获得了精神病发病率评估。结果：医学解释的躯体症状与1年后的精神病学结局密切相关。有4种或4种以下具有医学解释的症状的患者中，超过一半的患者（10分之614）已从精神疾病中恢复过来，而5种或5种以上具有医学解释的症状的患者，康复的百分比降至38％（174种中的67种）。在控制了人口统计学，国家/地区，精神疾病的初始严重程度，医学上无法解释的躯体症状和社会残障后，具有5种或5种以上具有医学解释症状的患者在1年后保留精神病病例的风险增加了70％。结论：身体不适的健康状况与患者看病后1年的心理结局独立相关。这些患者的需求应得到更多关注。

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