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個人生活與輕型精神障礙-一項前驅研究

Personal Problems and Minor Mental Disorders: A Pilot Study

摘要


A retrospective case-control study of minor mental disorders with the assessment of personal problems and symptom manifcstation was carried out by using 107 consecutive first-visit outpatients (case group) with the diagnosis of minor mental disorders from the Department of Psychiatry, Kaohsiung Medical College Hospital, and 113 matched controls (sex and age) which were selected vai multistage random sampling from metropolitan Kaohsiung. The Chinese version of the self- rated questionnaire, consisting of personal problems (50 items) and psychological symptom manifestations (35 items), which was initially designed for pan-Pacific transcultural study, was introduced after a two-stage translation. The above items were rated as present or absent, and a clinical evaluation was also made by a psychiatrist. There were more significant problems found in the casc group than in the control. Significant items were marriage, family relationship, daily living, neighbourhood,job, physical illness, aging, self-image, accident and socio-cultural strain. A single discriminant function analysis was applied to differentiate the symptom manifestations between the two groups. The categories of symptoms being discriminated were those commonly encountered in minor mental disorders, namely, somatization, obsession and compulsion, depression, and anxiety. The results will contribute to the development of the Chinese version of a clinically useful self-rated symptom checklist with quantitative measurement for minor mental disorders.

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並列摘要


A retrospective case-control study of minor mental disorders with the assessment of personal problems and symptom manifcstation was carried out by using 107 consecutive first-visit outpatients (case group) with the diagnosis of minor mental disorders from the Department of Psychiatry, Kaohsiung Medical College Hospital, and 113 matched controls (sex and age) which were selected vai multistage random sampling from metropolitan Kaohsiung. The Chinese version of the self- rated questionnaire, consisting of personal problems (50 items) and psychological symptom manifestations (35 items), which was initially designed for pan-Pacific transcultural study, was introduced after a two-stage translation. The above items were rated as present or absent, and a clinical evaluation was also made by a psychiatrist. There were more significant problems found in the casc group than in the control. Significant items were marriage, family relationship, daily living, neighbourhood,job, physical illness, aging, self-image, accident and socio-cultural strain. A single discriminant function analysis was applied to differentiate the symptom manifestations between the two groups. The categories of symptoms being discriminated were those commonly encountered in minor mental disorders, namely, somatization, obsession and compulsion, depression, and anxiety. The results will contribute to the development of the Chinese version of a clinically useful self-rated symptom checklist with quantitative measurement for minor mental disorders.

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