精神科照會中器質性精神疾病之分析--初步報告

本文收集民國81年6月至9月間，林口院區精神科接受他科照會中，以DSM-III-R診斷為器質性精神疾病者為研究對象。在200例會診個案中，器質性精神疾病有73位，佔36.5%。其中男性51位，女性22位，平均年齡為47.9±18.9歲。診斷分佈以譫妄最多，佔45.2%;中毒或戒次之，佔20.5%。要求照會之主要問題，以精神病症狀最常見，佔31.5%，意識障礙次之，佔19.2%。病因方面，以精神活性物質所導致之精神疾病居首位，佔39.7%，代謝障礙次之，佔15.1%。器質性組與非器質性組，在平均年齡上，並無統計上差異存在，但在器質性組上，有男性較多且平均教育年數較少之顯著差異。
In 200 cases for psychiatric consulation, 73*36.5%) cases, 51 males and 22 females, were diagnosed as suffered from organic mental syndrome/disorder occording to DSM-III-R criteria. Their mean age was 47.9±18.9 years. The leading psychiatric diagnosis were delirium (45.2%) and substance intoxication/withdrawal (20.5%). The psychotic symptoms (31.5%) and conscious disturbance (19.2%). The most common presumed etiologies for organic mental disorders were psychoactive substance related (39.7%) and metabolic (15.1%)causes. The comparisons of the results reported by several medical centers in recent years were further discussed in the text.