The prevalence of mental disorders in rural office practice.
The prevalence of mental disorders in rural office practice.
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农村机关工作中精神障碍的患病情况
DOI：
10.1007/bf02603478
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发表时间：
1996
影响因子：
5.7
通讯作者：
Wofford,AB
中科院分区：
文献类型：
--
作者：
Philbrick,JT;Connelly,JE;Wofford,AB
目的：确定农村基层医疗机构精神障碍的患病率。设计：患者访谈;图表回顾。环境：两个农村初级保健诊所的做法。病人：350名年龄在18岁或以上的预定或步行病人。测量：医疗结果研究36项简表健康调查（MOS SF-36），精神疾病的初级保健评估（PRIME-MD），身体健康使用格林菲尔德的共存疾病指数（ICED），和卫生保健利用使用的办公室访问的次数和总办公室和实验室收费6个月前，直到6个月后interview.RESULTS：在这些患者中，34%符合标准的一个或多个的18种精神障碍评估的PRIME-MD; 19%符合《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）中特定疾病的标准。情绪障碍最常见（21.7%），其次是焦虑症（12.3%）、躯体形式障碍（11.1%）、可能的酒精滥用或依赖（6.0%）和进食障碍（2.0%）。通过逻辑回归分析，年龄、性别、种族（黑人）和教育程度与各种精神障碍类别的患病率较低有关。即使调整人口统计学变量和身体健康（ICED评分），那些与PRIME-MD诊断有显着较低的功能，测量的8 MOS SF-36量表和较高的利用办公室服务（p<.001）。结论：农村初级保健办公室的做法是精神障碍的患病率一样高，在城市办公室的做法。
OBJECTIVE:To determine the prevalence of mental disorders in rural primary care office practice.DESIGN:Patient interview; chart review. SETTING: Two rural primary care office practices.PATIENTS:Three hundred-fifty scheduled or walk-in patients age 18 years or older.MEASUREMENTS:Medical Outcomes Study 36-Item Short-Form Health Survey (MOS SF-36), the Primary Care Evaluation of Mental Disorders (PRIME-MD), physical health using Greenfield’s index of coexistent disease (ICED), and health care utilization using the number of office visits and total office and laboratory charges six months before until six months after the interview.RESULTS:Of these patients 34% met criteria for one or more of the 18 mental disorders evaluated by the PRIME-MD; 19% met criteria for specific disorders according to criteria from theDiagnostic and Statistical Manual of Mental Disorders, Revised Third Edition(DSM-III-R). Mood disorders were most common (21.7%), followed by anxiety disorders (12.3%), somatoform disorders (11.1%), probable alcohol abuse or dependence (6.0%), and eating disorders (2.0%). By logistic regression, there was an association of age, sex, race (black), and education with lower prevalence of various mental disorder categories. Even after adjustment for demographic variables and physical health (ICED score), those with PRIME-MD diagnoses had significantly lower function as measured by the eight MOS SF-36 scales and higher utilization of office services (p<.001).CONCLUSIONS:The prevalence of mental disorders in rural primary care office practice is as high as in urban office practice.