The Broken Hill Psychopathology Project.
The Broken Hill Psychopathology Project.
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布罗肯希尔精神病理学项目。
DOI：
10.3109/00048679209072028
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
A. Kaushik
中科院分区：
文献类型：
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作者：
P. Yellowlees;A. Kaushik
本研究的主要目的是描述在新南威尔士州农村地区接受治疗的患者中出现的精神疾病。这些病人主要在社区、公共和私人诊所就诊，但也在当地的基地医院和监狱就诊。在研究期间连续检查了707例患者。这项研究的结果与之前的一项澳大利亚全国范围的研究进行了比较，以确定在农村地区更普遍的特定疾病。酒精滥用和依赖更为普遍。家庭暴力、性侵犯和乱伦等生活问题在接受精神病评估的妇女中普遍存在。超过10%的研究患者是17岁以下的儿童，他们的各种精神疾病的患病率与全国比较相似。结论是，酗酒在新南威尔士州农村非常普遍，尤其是在男子中，尽管妇女中的比例也很高，这可能至少部分与家庭暴力、性侵犯和乱伦的高比例有关。男子酗酒导致妇女和儿童遭受家庭暴力和性虐待的循环似乎是可能的。这可能导致后者变得焦虑和抑郁。主要功能性精神障碍的发生率与全国范围内的发生率相似。大城市和农村地区精神科医生分布不均的问题亟需解决。
The main objective of this study was to describe the psychiatric disorders seen in patients presenting for treatment in rural New South Wales. The patients were seen primarily in the community, in both public and private practice, but also in the local base hospital and prison. Seven hundred and seven patients were consecutively examined during the study period. The results of this study were compared with a previous Australia-wide study to identify specific disorders that were more prevalent in rural areas. Alcohol abuse and dependence stood out as being much more prevalent. Life problems such as domestic violence, sexual assault, and incest occurred commonly in women referred for psychiatric assessment. More than ten percent of the study patients were children aged under 17, who had similar prevalence rates of the various psychiatric disorders to a national comparison. It is concluded that alcohol abuse is very common in rural New South Wales, particularly in men, although there are also high rates in women, and this is probably related, in part at least, to the high rates of domestic violence, sexual assault and incest. It appears probable that there is a cycle of alcohol abuse in men leading to domestic violence and sexual abuse in women and children. This may contribute to the latter becoming anxious and depressed. The rates of the major functional psychiatric disorders were similar to those seen nationally. There is a great need for the maldistribution of psychiatrists between metropolitan and rural areas to be addressed.