精神病学神经症及癔症【84页】.pptx

神经症及癔症;神经症及癔症(NeurosesandHysteria);Considerableprevalence

Mentalagony

Highcost

Oftenmissedormisdiagnosed;Considerableprevalence

1950s:0.13%~0.28%(totalprevalenceofmentaldisorders)

PointprevalenceonJul1st,1982:12regions

aged15-59yrs

38136individuals:1.05%

6754individuals:2.22%（prevalenceofneuroses）

PointprevalenceonApr1st,1993:7regions

aged15-59yrs

19223individuals:1.12%

2979individuals:1.51%（prevalenceofneuroses）;Considerableprevalence

Theadjusted1-monthprevalenceofanymentaldisorderduring2001-2005:363sitesin4provinces

aged18yrsandolder

63004individuals:17.5%

5.6%:anxietydisorders

Lancet.2009;373(9680):2041-53.;Considerableprevalence

Amongindividualswithadiagnosablementalillness:

24%weremoderatelyorseverelydisabledbytheirillness

8%hadeversoughtprofessionalhelp

5%hadeverseenamentalhealthprofessional.;Considerableprevalence

FearofstigmatisationmightmakeChineseindividualsmorelikelythanindividualsfromotherculturestodeny(orforget)transientpsychologicalconditionsthathappenedinthepast.;Considerableprevalence

Unawarethattheproblemisanillnessthatcanbetreated

Unwillingnesstoseekhelpforpsychologicalproblemsforfearofstigmatisation;2005年9月，《深圳市户籍及非户籍居民精神疾病现况调查》

18岁以上7134名居民

世界卫生组织一世界精神健康联盟（WHO-WMH）提供的复合性国际诊断访谈表中文版（CID13.1）为访谈工具

通俗易懂且不易引发病耻感的语言

加权终生患病率：21.87%

焦虑障碍：14.45%

加权年患病率：13.42%

焦虑障碍：9.10%;Considerableprevalence

Mentalagony

Highcost

Oftenmissedormisdiagnosed;;Considerableprevalence

Mentalagony

Highcost

Oftenmissedormisdiagnosed;Everymedicalstudentmustgetaclearunderstandingof;事例;

1769年，英国医生WilliamCullen创用“neuroses”，当时囊括了现代全部神经科和精神科疾病；

Iproposetocomprehend,underthetitleofneurosis,allthosepreternatural[morethanisusualornatural]affectionsofsenseandmotionwhicharewithoutpy