精神病学：神经症及癔症.ppt

神经症及癔症
Neuroses and Hysteria
神经症及癔症 (Neuroses and Hysteria)
重点
掌握神经症的共同临床特点、诊断及治疗原则。癔症的病因和发病机理、临床表现和心理治疗。神经衰弱的临床表现及诊断与治疗。
熟悉强迫症、抑郁性神经症、恐怖症、焦虑症和疑病症的临床表现及动力性解释。
Considerable prevalence
Mental agony
High cost
Often missed or misdiagnosed
临床重要性
神经症及癔症 (Neuroses and Hysteria)
Considerable prevalence
1950s: %~% (total prevalence of mental disorders)
Point prevalence on Jul 1st, 1982: 12 regions
aged 15-59 yrs
38136 individuals: %
6754 individuals: %（prevalence of neuroses）
Point prevalence on Apr 1st, 1993: 7 regions
aged 15-59 yrs
19223 individuals: %
2979 individuals: %（prevalence of neuroses）
神经症及癔症 (Neuroses and Hysteria)
临床重要性
Considerable prevalence
The adjusted 1-month prevalence of any mental disorder during 2001-2005: 363 sites in 4 provinces
aged 18yrs and older
63004 individuals: %
%: anxiety disorders
Lancet. 2009;373(9680):2041-53.
费立鹏（Michael R. Phillips），加拿大人，59岁，1985年起旅居中国。
神经症及癔症 (Neuroses and Hysteria)
临床重要性
Considerable prevalence
Among individuals with a diagnosable mental illness:
24% were moderately or severely disabled by their illness
8% had ever sought professional help
5% had ever seen a mental health professional.
费立鹏（Michael R. Phillips），加拿大人，59岁，1985年起旅居中国。
神经症及癔症 (Neuroses and Hysteria)
Considerable prevalence
Fear of stigmatisation might make Chinese individuals more likely than individuals from other cultures to deny (or forget) transient psychological conditions that happened in the past.
神经症及癔症 (Neuroses and Hysteria)
临床重要性
Considerable prevalence
Unaware that the problem is an illness that can be treated
Unwillingness to seek help for psychological problems for fear of stigmatisation
神经症及癔症 (Neuroses and Hysteria)
临床重要性
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（）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：%
焦虑障碍：%
加权