Chart-recorded psychiatric diagnoses in women giving birth in California in 1992
Chart-recorded psychiatric diagnoses in women giving birth in California in 1992
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DOI：
10.1176/ajp.156.6.955
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发表时间：
1999-06-01
影响因子：
17.7
通讯作者：
Burt, VK
中科院分区：
文献类型：
--
作者：
Kelly, RH;Danielson, BH;Burt, VK
目的：虽然初级保健在诊断和治疗精神疾病方面取得了重大进展，但很少有以人口为基础的调查集中在产科。本研究调查了1992年在加州医院分娩的所有妇女中发生的图表记录的精神病出院诊断。方法：作者对加州健康信息政策项目数据集进行了档案分析，该数据集包括580，282例分娩的相关出院和出生证明数据。ICD-9精神病诊断的频率被确定。结果：在所有分娩的妇女中，1.5%接受了精神病或物质使用诊断。在记录的诊断中，75%是物质使用障碍，21%被遗传归类为“妊娠精神障碍”，其他精神障碍占4%。结论：这些妇女中精神病诊断的发生率明显低于预期，表明分娩时精神疾病的报告不足。需要进一步调查产科精神疾病的发现情况。
Objective: Although major advances have been made in the diagnosis and treatment of mental disorders in primary care, few population-based investigations have focused on the obstetrical sector. This study examines the occurrence of chart-recorded psychiatric discharge diagnoses among all women delivering in California hospitals in 1992. Method: The authors undertook an archival analysis of the California Health Information for Policy Project data set, which consists of linked hospital discharge and birth certificate data for 580,282 deliveries. Frequencies of ICD-9 psychiatric diagnoses were ascertained. Results: Among all women delivering, 1.5% received psychiatric or substance use diagnoses. Of diagnoses recorded, 75% were substance use disorders, 21% were classified genetically as "mental disorder of pregnancy," and other psychiatric disorders accounted for 4%. Conclusions: The occurrence of psychiatric diagnoses in these women is markedly lower than expected, suggesting an underreporting of psychiatric disorders at delivery. Further investigations into the detection of mental disorders in the obstetrical sector are needed.