Service use among patients with serious mental illnesses who presented with physical symptoms at intake.
Service use among patients with serious mental illnesses who presented with physical symptoms at intake.
复制标题
患有严重精神疾病且在入院时出现身体症状的患者的服务使用情况。
DOI：
10.1176/ps.62.10.pss6210_1146
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Escobar,JavierI
中科院分区：
文献类型：
--
作者：
Minsky,Shula;Etz,RebeccaS;Gara,Michael;Escobar,JavierI
本研究的目的是探讨严重的精神疾病，一般的身体症状，并使用精神卫生服务的人提出入院在社区为基础的精神卫生center.MethodsNumber和类型的身体症状之间的关系进行了评估，在常规摄入过程中。使用修改后的身体健康问卷-15对个人（N= 1，022）进行电话筛查。对诊断、人口统计学和治疗信息进行前瞻性跟踪。数据分析了682个人谁保持至少一个约会。分析检查身体症状，诊断，和服务使用随时间的推移之间的关联。ResultsA共481例（71%）报告三个或更多的身体症状。有三种或三种以上身体症状的患者年龄明显较大（p<0.013），更可能是女性（p<0.001）和讲西班牙语（p<0.05），使用的服务明显多于身体症状较少的患者（p<0.001）。服务的数量和费用都随着入院时出现的身体症状的数量而增加。重度抑郁症患者有可能与精神分裂症或双相情感障碍患者报告有三个或更多的身体symptoms.ConclusionsWithin精神健康社区为基础的人群，大多数严重精神疾病的传入客户报告三个或更多的身体症状。报告的身体症状的数量是一个显着的预测心理健康服务的使用和成本的事件的护理，即使在分析控制混杂因素，如性别，年龄和诊断。（Psychiatric Services 62：1146-1151，2011）
ObjectiveThe goal of this study was to examine relationships among serious mental illness, general physical symptoms, and use of mental health services among persons presenting for admission at a community-based mental health center.MethodsNumber and type of physical symptoms were assessed during the routine intake process. Individuals (N=1,022) were screened by phone with a modified version of the Physical Health Questionnaire-15. Diagnostic, demographic, and treatment information was tracked prospectively. Data were analyzed for 682 individuals who kept at least one appointment. Analyses examined associations among physical symptoms, diagnosis, and service use over time.ResultsA total of 481 patients (71%) reported three or more physical symptoms. Patients with three or more physical symptoms were significantly older (p<.013), were more likely to be female (p<.001) and Spanish speaking (p<.05), and used significantly more services (p<.001) than did those with fewer physical symptoms. Both the number and the costs of services increased with the number of physical symptoms presented at intake. Patients with major depressive disorder were as likely as patients with schizophrenia or bipolar disorder to report having three or more physical symptoms.ConclusionsWithin a mental health community-based population, most incoming clients with serious mental illness reported three or more physical symptoms. The number of reported physical symptoms was a significant predictor of mental health service use and cost over the episode of care, even after analyses controlled for confounders such as gender, age, and diagnosis. (Psychiatric Services62:1146–1151, 2011)