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Yıl:1996; Cilt: 7; Sayı: 2>> Özet
Türk Psikiyatri Dergisi; 1996;7(2):83-92
Bir Sağlık Ocağına Başvuran Hastalarda Ruhsal Sorunlar: Bir Yıllık İzleme Çalışması
BG REZAKİ, M REZAKİ
Bir sağlık ocağına çeşitli yakınmalarla başvuran hastalardan standart bir görüşme yöntemi ile ruhsal hastalık tanısı alan ya da belirli sayıda ruhsal hastalık belirtisi olan 262 hasta ile bir yıl sonra tekrar görüşülmüştür. Bu hastalarda ICD-10 Tanı Ölçütlerine göre saptanan ruhsal hastalıkların bir yılın sonunda %43 oranında devam ettiği belirlenmiştir. Tanılar ayrı ayrı ele alındığında; depresyonun %35.2, somatizasyon bozukluğunun %31.3, yaygın bunaltı bozukluğunun ise %28.5 oranında devam ettiği saptanmıştır. Ruhsal hastalığın gidişini yaş, eğitim ve sağlık ocağı doktorunun ruhsal hastalığı tanımasının olumlu yönde etkilediği saptanmıştır. Ruhsal hastalığın gidişini ilk görüşmede yordayabilecek iki faktör sağlık ocağı doktorunun ruhsal hastalığı tanıması ve bedensel belirti sayısıdır.
Psychiatric Problems in Patients Attending to a Primary Care Unit: One [year] Follow-up Study
262 patients who had attended to a primary care unit and got a psychiatrie diagnosis or a sufficient number of psychiatric symptoms with a standard diagnostic interview one [year] ago, were followed up. 43% of patiets who had a ICD-10 psychiatric disorder continued to have an ICD-10 disorder after one [year]. Persistence rate was 53.2% in depression, 31.3% in somatization disorder, 28.5% in generalized anxiety disorder. The prognosis of the psychiatric disorders were associated with the primary care physician’s recognition of the psychological problems, age and education. Two factors were found to be important in prediction of the prognosis in psychiatric disorders: the primary care physycian’s diagnosis and the number of somatic symptoms.

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