PSYCHOLOGICAL DISORDERS AND SOMATIZATION IN PRIMARY CARE

初级保健中的心理障碍和躯体化

• 批准号: 3429776
• 负责人: GREGORY G SIMON
• 金额: $ 7.22万
• 依托单位: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-05-01 至 1993-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3429776
• 关键词: decision making; emotional adjustment; health care facility; health care service availability; international health /scientific organization; interview; mental disorder diagnosis; mental health epidemiology; nervous system disorder; primary care physician; psychosomatic disorders; questionnaires

DESCRIPTION (Adapted from Applicant's Abstract): This proposal requests support for part of an international collaborative study organized by the World Health Organization (WHO) to examine psychologic distress, psychiatric disorder, and functional somatic symptoms in general health care settings. Support is specifically requested for a U.S. site to join existing sites in Europe, South America, Asia, and Africa. The overall project will examine level of psychiatric morbidity among primary care medical patients as well as the association of that morbidity with disability and use of health services. Use of standardized instruments and training will allow international comparisons not previously possible. The proposed Seattle site will also study the effects of patient psychological distress on physician decision-making as well as the relationship between reported and actual health services utilization. Study protocol calls for each site to screen 1500 primary care patients using the General Health Questionnaire (GHQ) and AUDIT questionnaire. A random sample of 395 respondents (stratified by GHQ score) will complete the Composite International Diagnostic Interview (CIDI). All interviewed subjects with significant psychiatric morbidity will complete 3- and 12-month follow-ups to assess symptom levels, disability, and use of health services.

描述（改编自申请人摘要）：本提案要求 支持联合国教科文组织举办的国际合作研究的一部分， 世界卫生组织（世卫组织）研究心理困扰， 一般健康中的精神障碍和功能性躯体症状 护理设置。 特别要求支持美国站点加入 在欧洲、南美洲、亚洲和非洲的现有站点。 整体 项目将审查初级保健中的精神病发病率 医学患者以及这种发病率与 残疾和使用卫生服务。 使用标准化工具和 培训将使国际比较成为可能，这在以前是不可能的。 的 拟议中的西雅图站点还将研究患者心理 对医生决策的困扰以及 报告的和实际的保健服务利用情况。 研究方案要求每个研究中心筛选1500名初级保健患者 使用一般健康问卷（GHQ）和AUDIT问卷。 一 将随机抽取395名受访者（按GHQ评分分层）， 综合国际诊断访谈（CIDI） 所有受访 具有显著精神病发病率的受试者将完成3-和 12-一个月的随访，以评估症状水平，残疾和使用健康 服务