摘要
目的了解河北省惊恐障碍患者的功能状况及接受治疗现状。方法采用多阶段、整群、分层随机抽样方法调查河北省18岁及以上人群共24000人,调查筛选工具采用改编后的一般健康问卷12项(GHQ-12),以《DSM-ⅠV-TR轴Ⅰ障碍定式临床检查》(SCⅠD-T/P)病人版为调查的诊断工具,采用功能大体评定量表(GAF)评价功能状况。结果河北省惊恐障碍患者工作能力、日常生活、精神状况、社会交往、自我料理等功能状况都受到不同程度的影响,尤其以精神状况、工作能力和日常生活方面明显,受中等程度以上影响的比例分别为90.9%、76.4%和67.3%,并且有34.5%的患者希望自己死了才好,12.7%的患者出现自杀或自伤观念。因心理或精神问题去看过病的患者只有7.3%,在未看过病的患者中只有3.6%的患者意识到看心理医生会有用或可能有用。结论惊恐障碍患者社会和生活功能明显受损,容易出现自杀观念及行为,甚至产生社会功能残疾,应引起临床医生的重视,基层医师在向他们保证其没有躯体疾病的同时,应劝其接受充分的药物和心理治疗,同时,要在普通人群中扩大宣传,普及有关知识。
Objective To understand the function and treatment status of patients with panic disorder in Hebei.Methods The multi-stage,cluster,stratified random sampling method was used to investigate 24,000 people aged 18 and above in Hebei province.The adopted general health questionnaire 12（GHQ-12） acted as the screening tool,and the ＂DSM-IV-TR axis I clinical examination is scheduled obstacles ＂（SCID-T/P） patient version as the diagnostic tool for the investigation.And the general introduction of the functional rating scale（GAF） was adopted to evaluate the functional status.Results The ability to work and daily life,mental state,social contacts,self-managing of the patients with panic disorder in Hebei Province were influenced,especially mental state,the ability to work and daily life.in turn were 90.9%,76.4% and 67.3%,and 34.5% patients wanted to die,12.7% had the concept of suicide or self-injury.Due to psychological or psychiatric problems,the ration of the patients with disease who had not gone to see a doctor was only 7.3%,among them only 3.6% were aware that seeing a psychologist was or maybe useful.Conclusion The social and life function of the patients with panic disorder are impaired obviously.They are easy to have the concept and behavior of suicide,and even the social function of disability.This phenomenon should be great important to clinicians.Assuring that the patients do not have the somatic disease,the primary care physicians should persuade them to accept full drug and psychological treatment.Meanwhile,it should expand the awareness among the general population and the universal knowledge of the panic disorder.
出处
《中国健康心理学杂志》
2010年第7期782-783,共2页
China Journal of Health Psychology
关键词
惊恐障碍
功能状况
治疗现状
河北省
Panic disorder
Functional status
Treatment status
Hebei province
