摘要
目的 探讨抑郁症患者首次是否选择精神科医院应诊的影响因素 ,以及不同的选择对疾病的影响。方法 采用自行设计的调查表对我院 1 1 8例住院及门诊抑郁症患者进行调查。结果 1有 64.4%的抑郁症患者首次选择非精神科医院就诊 ;2有 61 .8%的患者认为自己患的不是精神疾病 ,而是躯体疾病 ;3首次选择精神科医院就诊的抑郁症患者往往具有抑郁情绪、自责自罪、消极观念、自杀企图、幻觉妄想、非真实感等症状 ,而首次选择非精神科医院就诊的患者往往躯体不适症状突出、家人对患者病情较关注 ;4首次选择非精神科医院就诊的患者其病程明显长于首次选择精神科医院就诊的患者。
Objective To explore the first choice of depressive patients in help seeking between general hospital and psychiatric hospital.Methods 118 depressive patients in the out clinic of a psychiatric hospital were investigated with a self-made inventory.Results ①64.4% depressive patients chose general hospital in seeking health service the firest time.②61.8% depressive patients thought that they had a physical disease but not psychiatric disease.③Those,whose first choice was psychiatric hospital,had such symptoms in common as depressive mood,self-reproach,guilty feeling,attempted suicide,hallucination and delusions,derealization.Those with predominant somatic or having more concern from family members preferred to general hospital.④The duration of illness was longer in patients choosing general hospital.Conclusion For depressive patients,the presence of predominant somatic symptoms and concern of family members make the first help seeking choice incline to general hospital.
出处
《健康心理学杂志》
2004年第1期27-28,42,共3页
Health Psychology Journal
