摘要
目的 了解从1985年8月本院正式成立儿少心理咨询门诊以来的15年中患儿就诊的情况,以掌握了解儿童和少年精神障碍的发展趋势。方法 从1985年8月到1999年6月30日之间就诊患儿的病历中,每年随机抽取200份,共3000份病历,做逐一记载,然后将资料进行分析。结果 15年来门诊中外地患儿呈增高趋势;患儿年龄在门诊初期主要集中于儿童期,以后涉及到儿童和青少年的各年龄段,以儿童期和少年期最多;文化程度以中、小学生居多。在初期,精神障碍各类诊断单一,诊断不规范,90年代以后诊断趋于标准化,位于前三位的诊断是:儿童多动症、情绪障碍和精神发育迟滞。治疗以药物为主,利他林是治疗“多动症”的常用药物,各种心理治疗呈逐年增多趋势。结论 我国儿童和青少年精神卫生事业的发展已经达到一个新的水平,社会对儿童和青少年精神医学知识的需求普遍增加,加强儿少精神卫生知识的宣传、普及,提高干预和治疗水平是专业人员的责任。
Objectives: The aim of the study is to understand the developing trend of child and adolescent psychiatry from 1985 to 1999 in Shanghai . Method: The samples were recruited randomly from recorders over the past 15 years and 200 cases were recorded each year. Results: The age of the patients had a wide range, most of them were in the period of child and adolescent as well as the students in primary and secondary school. The number of patients from other parts of the country had been increasing gradually. The most common diseases were attention deficit hyperactivity disorder , emotional disorders and mental retardation. Medication was the most common method in the past 15 years, but several psychotherapies such as family psychotherapy were used for child and adolescent in recent years. Conclusion: Chinese child and adolescent psychiatry come up to a advanced level now. As mental health professionals, we have responsibility to improve child and adolescent psychiatry.
出处
《上海精神医学》
北大核心
2001年第1期8-11,共4页
Shanghai Archives of Psychiatry
关键词
儿童
精神医学
心理咨询
Child and adoiescent psychiatry Development Psychological counseling
