医生对青少年患者出现医学上无法解释的症状的看法,这些患者向急诊室呈现
Gillian Hendriks1, Chunzhen Tan1, Marimuttu Jeyan Vicknesan1
1KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore.
医生经常忽略了青少年患有医学上无法解释的症状 (MUS) 的精神病态状况,偏好在紧急情况下进行医学诊断. 早期识别心理社会困扰对于及时进行心理健康干预至关重要.
科学领域:
- 青少年医学 青少年医学
- 精神病体医学是一种精神病体医学.
- 紧急医疗 紧急医疗
背景情况:
- 青少年的医学上无法解释的症状 (MUS) 在非精神卫生保健机构,如急诊室 (EDs) 中存在诊断挑战.
- 在青少年心理健康危机中,认识到心理痛苦至关重要.
- 医生对ED中MUS的感知和诊断倾向需要进行调查.
研究的目的:
- 探索医生对ED中MUS青少年的看法和诊断倾向.
- 调查医学诊断对精神病体表现的潜在掩盖.
- 了解影响儿科急诊医学诊断偏差的因素.
主要方法:
- 在儿童急诊医疗部门的74名医生中进行了一项调查.
- 一个在线问卷评估了医生对涉及精神病体表现的病例情景的看法.
- 在符合条件的医生中,应答率为82%.
主要成果:
- 只有不到10%的医生认为精神病状况,显示强烈倾向于医学诊断.
- 精神病学诊断更有可能出现头痛,呼吸短促和胸痛等症状.
- 医生对医学诊断的偏见可能源于对身体护理的关注,不确定性,认知偏见和耻辱的担忧.
结论:
- 患有MUS的青少年可能会面临延迟的心理健康诊断和在非心理健康环境中的干预.
- 心理症状可以表明潜在的压力因素或精神健康障碍.
- 为医疗教育和实践倡导一种整体的生物心理社会方法,以改善心理健康结果.
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