بررسی اختلالات روانپزشکی در مراجعین به درمانگاه ‌های عمومی بیمارستان های آموزشی دانشگاه علوم پزشکی مازندران در سال 1376

Background and purpose : Âccording to the policy of Ïranian ministry of health and medical education, that all patients should be visited by general practitioner and if necessary referred to a consultant specialist and with that in mind, Less than one fifth of the referring patients to the only available psychiatric center of mazandaran university of medical sciences are directed by general practioners. Ït was decided to screen psychiatric disorders in general medical clinics affiliated to this university. Materials and methods : Two hundred and fifty adult clients (95% confident coefficient) were selected via stratified random sampling, and evaluated by SÇL-90-R test. Results : The prevalence of psychiatric disorders was 40%. These disorders were more common in women. Âlso, the global severity index was greater in women. Majority of the psychiatrical patients were married, housewife, and high school educated. The most prevalent dimensions of psychiatric disorders were paranoid ideations, somatization, anxiety and interpersonal sensitivity. Çonclusion : Çonsidering the high prevalence of psychiatric disorders in general medical practice, and psychiatric consultations are very limited, it seems that, probably there is no proper education and/or no enough attention to the psychiatric disorders. Ït is essential to pay more attention in psychiatry education in the course of medical education.