某三级甲等综合医院2000-2010年军人心理门诊疾病谱调查

An investigation of the disease spectrum of psychological outpatients from the military in the General Hospital from 2000 to 2010

目的分析综合医院心理科军人门诊的病种分布特征与变化趋势,为部队心理卫生工作提供参考依据。方法选取2000-2010年间某医院军人心理门诊首诊资料完整者共888例,对所有资料进行统计分析。结果军人精神类疾病前5位分别是F41(其他焦虑障碍)、F32(抑郁发作)、F51(非器质性睡眠障碍)、F45(躯体形式障碍)、F99(未特指的精神障碍);一般心理问题前5位依次为心理筛查轻度问题、婚恋问题、人际关系、家庭问题、性问题。结论军人心理门诊量呈上升趋势,焦虑、抑郁仍是防治重点,婚恋家庭问题的解决是降低心理问题发生率的有效路径。

Objective To investigate the features of the disease spectrum of psychological outpatient from the military in the General Hospital, and to provide some data for psychological consultation among the troops. Methods The medical records of 888 first - visit cases from the military from January 2000 to December 2010 were analyzed and the top five diseases were compared. Results F41 （ other anxiety disorders）, F32 （ depressive episode）, F51 （ nonorganic sleep disorders）, F45 （ somatoform disorders）, F99 （ not other- wise specified mental illness）occupied the first five positions among mental and behavioral disorders. Mild problems of psychological screening, problems with love and marriage ,problems with interpersonal relationship,family problems and problems with sex occupied the first five positions among psychological problems. Conclusions The incidence of psychological problems among the military per- sonnel is increasing. Anxiety and depressive disorders are the biggest hazards. Effective settlement of problems with love and marriage is a good way to reduce the incidence of psychological problems.