医学精品课件：神经症2014.ppt

1、神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)nConsiderable prevalence v1950s:0.13%0.28%(total prevalence of mental disorders)vPoint prevalence on Jul 1st,1982:12 regions

2、 aged 15-59 yrs 38136 individuals:1.05%6754 individuals:2.22%（prevalence of neuroses）vPoint prevalence on Apr 1st,1993:7 regions aged 15-59 yrs 19223 individuals:1.12%2979 individuals:1.51%（prevalence of neuroses）神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria

3、)nConsiderable prevalence vThe adjusted 1-month prevalence of any mental disorder during 2001-2005:363 sites in 4 provinces aged 18yrs and older 63004 individuals:17.5%5.6%:anxiety disorders Lancet.2009;373(9680):2041-53.神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and

4、Hysteria)nConsiderable prevalence Among individuals with a diagnosable mental illness:v24%were moderately or severely disabled by their illnessv8%had ever sought professional helpv5%had ever seen a mental health professional.神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses

5、and Hysteria)nConsiderable prevalence vFear of stigmatisation might make Chinese individuals more likely than individuals from other cultures to deny(or forget)transient psychological conditions that happened in the past.神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and

6、Hysteria)nConsiderable prevalence vUnaware that the problem is an illness that can be treatedvUnwillingness to seek help for psychological problems for fear of stigmatisation神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)v2005年年9月，月，深圳市户籍及非户籍居民精神疾病深圳市户籍及非户籍居民

7、精神疾病现况调查现况调查v18岁以上岁以上7134名居民名居民v世界卫生组织一世界精神健康联盟（世界卫生组织一世界精神健康联盟（WHO-WMH）提供的复合性国际诊断访谈表中文版（提供的复合性国际诊断访谈表中文版（CID13.1）为访谈工具为访谈工具通俗易懂且不易引发病耻感的语言通俗易懂且不易引发病耻感的语言n加权终生患病率：加权终生患病率：21.87%21.87%焦虑障碍：焦虑障碍：14.45%v加权年患病率：加权年患病率：13.42%13.42%焦虑障碍：焦虑障碍：9.10%神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hys

8、teria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)1769年，英

9、国医生年，英国医生William Cullen创用创用“neuroses”，当时囊括了现代全部神，当时囊括了现代全部神经科和精神科疾病；经科和精神科疾病；I propose to comprehend,under the title of neurosis,all those preternatural more than is usual or natural affections of sense and motion which are without pyrexia,fever as part of the primary disease.神经症及癔症神经症及癔症神经症及癔症 (Neu

10、roses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hys

11、teria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)nA heterogeneous group of disorders nPhobia disordersnAnxiety disordernObsessive-compulsive and related disordersnHypochondria nSomatic symptom and related disordersnNeurasthenianDepr

12、essive neurosis(neurotic depression)Dysthemia 恶劣心境nHysterianDissociative DisordersnConversion Disorders(Somatic symptom and related disorders)Anxiety disorders神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses a

13、nd Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神

14、经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)perception of reality that reduce stress and anxiety.CLASSIFICATIONCLASSIFICATIONCLASSIFICATIONCLASSIFICATIONCLASSIFICATIONCL

15、ASSIFICATION神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neur

16、oses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hyst

17、eria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经

18、症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(N

19、euroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and H

20、ysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses

21、 and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria

22、)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症

23、神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuro

24、ses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hyste

25、ria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and

26、 Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Ne

27、uroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及

28、癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses

29、and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)

30、神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)神经症及癔症神经症及癔症神经症及癔症 (Neuroses and Hysteria)(Neuroses and Hysteria)(Neuroses and Hysteria)