摘要
目的探讨综合医院内科门诊患者的心理健康状况并与心理门诊对照分析,为开展心理社会干预提供依据。方法采用症状自评量表(SCL-90)调查了综合医院558例门诊患者,分为心理门诊组、内科疾病组、内科非疾病组。结果内科疾病组的总分、阳性项目数、躯体化、强迫、抑郁、焦虑4个因子分的得分均显著高于内科非疾病组(P<0.01)。而心理门诊组的总分、阳性项目数、强迫、人际关系、抑郁、焦虑、恐怖5个因子的得分均显著高于内科疾病组(P<0.01)。结论内科患者伴发心理障碍并不少见,建议在生物学治疗内科疾病的同时合并心理干预。
Objective： To survey the psychological status of outpatients in internal medicine departments and compare it with that of the outpatients in psychological counseling department, to supply data for psychological - social intervention. Methods： Symptom Checklist 90 （ SCL - 90 ） were used in 558 outpatients. They were divided into three groups： the psychological counseling patients group, the physical patients group, the non - physical patients group. Results： The total score, the number of positive items, somatization factor score, obsession factor score, depression factor score, and anxiety factor score of the physical patients group were significantly higher than those of the non - physical patients group（ P 〈 0.01 ）. The total score, the number of positive items, obsessive factor score, interpersonal relationship factor score, depressive factor score, and anxious factor score and the phobia factor score of the psychological counseling patients group were significantly than those of the physical patients group （ P 〈 0.01 ）. Conclusion： Physical patients suffer psychological disorders. We suggest that biological treatment combine with psychological intervention.
出处
《上海精神医学》
2007年第4期208-210,共3页
Shanghai Archives of Psychiatry
关键词
综合医院
内科
心理障碍
心理门诊
General hospital Internal medicine department Psychological disorders Psychological counseling department
