精神科与心理咨询门诊焦虑障碍患者就诊情况分析
焦虑障碍；心理咨询门诊；精神科门诊,,焦虑障碍；心理咨询门诊；精神科门诊,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献
【摘要】 目的 探讨焦虑障碍患者在心理咨询门诊和精神科门诊就诊情况，为焦虑障碍患者提供就诊指导。 方法 随机抽取2003年1月～2005年5月在上海市心理咨询中心和精神卫生中心门诊就诊的431例焦虑障碍患者的临床资料进行回顾性分析。 结果 心理咨询门诊焦虑障碍初诊患者(19.3%)明显高于精神科门诊(8.4%)，且以年龄小、病程短、未婚、职员、科教文卫、离退休者为多。两门诊使用频率最高的抗焦虑剂为苯二氮艹[]卓类、5羟色胺再摄取抑制剂。心理咨询门诊以心理干预或联合药物治疗者为多，脱失率60%；精神科门诊应用药物治疗者为多，脱失率30%，两门诊比较差异有极显著性(P<0.01)。 结论 焦虑障碍患者在两门诊就诊特点的不同表现在人口学资料、干预措施及疗效等方面。【关键词】 焦虑障碍；心理咨询门诊；精神科门诊
Analyses of patients with anxiety disorder in psychiatric vs. psychological counseling outpatient
Song Leou, Ji Jianlin
(Department of Mental Consult, Yueqing People's Hospital, 325600,Zhejiang, China)
【Abstract】 Objective To analyze patients with anxiety disorder in psychiatric vs. psychological counseling outpatient in order to provide medical helpseeking advices for patients with anxiety disorder. Methods Clinical data of 431 randomly selected patients with anxiety disorder in outpatients of Shanghai Psychological Counseling Center and Mental Health Center from Jan.2003 to May 2005 were retrospectively analyzed. Results Patients with firstdiagnosis of anxiety in psychological counseling outpatient(19.3%) were significantly more than in psychiatric outpatient(8.4%),their ages were younger and the course of diseases shorter, unmarried, clerks and retired. The commonest used drugs were benzodiazepines and SSRIs of both outpatients. Patients in psychological outpatient were mainly given the combination of psychointervention and drugs and lostrate was 60%,ones in psychiatric outpatient were given pharmacotherapy and lostrate was 30%, which showed significant difference between the 2 outpatients(P<0.01). Conclusion The anxiety patients in the 2 outpatients had difference in demographic data, method of intervene, curative effect. ......
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