标题：综合医院心理科门诊初诊患者心理分析

      作者：赵 鹏，杨海龙，沈迪文，张宇哲，曹秋云
    (南京大学医学院附属鼓楼医院医学心理科,江苏 南京 210008)

      卷次： 2014年25卷9期

      【摘要】 目的 研究综合医院心理科门诊初诊患者心理状况。方法 采用症状自评量表(SCL-90)对2010
年1月至2013年6月在我院心理科门诊初次就诊的3 532例患者进行评估分析。结果 3 532例患者中19~40岁
者占60.4%；高中以上学历者占68%；学生和无固定职业者比例较高，分别为36.0%和18.2%；SCL-90因子分≥3
者排在前三位的因子为抑郁、强迫和焦虑，分别占32.1%、30.7%和29.8%；女性的总分、躯体化、抑郁、焦虑及其他
项目因子均分显著高于男性(P<0.05)；高学历组的强迫、人际关系敏感、抑郁、偏执和精神病性因子均分显著高于
低学历组(P<0.05)，而低学历组的躯体化及其他项目因子均分显著高于高学历组(P<0.05)。结论 综合医院心理
科门诊初诊患者心理问题主要表现为抑郁、强迫和焦虑，女性的心理状况更为严重，高学历者更多地表现为心理
症状，而低学历者有更多的躯体症状及睡眠食欲等生物学症状。

      【关键词】 综合医院；心理科门诊；SCL-90

      【中图分类号】 R395.1 【文献标识码】 A 【文章编号】 1003—6350(2014)09—1297—03


Psychoanalysis of first-visit patients from psychological outpatient department in general hospital.
ZHAO Peng,
YANG Hai-long, SHEN Di-wen, ZHANG Yu-zhe, CAO Qiu-yun. Department of Psychology, Nanjing University Medical
School Affiliated Drum Tower Hospital, Nanjing 210008, Jiangsu, CHINA

【Abstract】 Objective To study the psychological status of first-visit patients from the psychological outpa-
tient department in general hospital. Methods The psychological status of 3 532 first-visit patients from Psychologi-
cal Outpatient Department of our hospital from January 2010 to December 2012 were assessed with Symptom Check-
list-90 (SCL-90). Results In 3 532 patients, the patients aging from 19 to 40 years accounted 60.4% and 68% of the
patients had high school diploma or higher. Students and people without regular work took higher proportion (36%
and 18.2%). Depression, obsession and anxiety were the top three factors with SCL-90 score higher than or equal to 3
were (32.1%, 30.7% and 29.8%). The average scores of total score, somatization, depression, anxiety and other factors
of women were higher than that of men (P<0.05). The average scores of obsession, interpersonal sensitivity, depression,