斯里兰卡妄想症嫉妒患者的报告频率和社会人口学特征

Mkok De Silva, IH Rajapakse, M. Rajasuriya, N. Fernando
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摘要

妄想嫉妒在精神病学文献中受到的关注有限。关于妄想性嫉妒的流行程度和人口趋势的信息在设计有效的控制措施中是必不可少的,但这些信息是稀疏和零碎的。本研究旨在描述斯里兰卡选定的精神卫生服务机构报告的妄想嫉妒患者的病例数和社会人口学特征。方法:2017年5 - 8月在3家公立医院和1家私立精神科诊所进行描述性横断面研究。数据收集使用一般信息表和结构化访谈时间表。结果:76例报告病例中有50例(65.78%)为新发病例。患者平均(SD)年龄为44.15(11.58)岁。入选病例55例(男性39例,占70.9%)。37人(67.2%)已婚并与配偶同住。以佛教徒(N=50, 90.9%)和僧伽罗人(N=54, 98.2%)居多。50人(90.9%)与伴侣育有子女。非普通水平患者23例(41.68%),36例(66.7%)。结论:患者以已婚中年男性居多,文化经济背景较低。随访咨询较少。尽管情况如此,大多数患者仍能正常工作。大多数病人与他们的伴侣和子女住在同一家庭,这可能加剧对伴侣的暴力风险和儿童主观地暴露于暴力之下。
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Frequency of reporting and socio-demographic characteristics of helpseeking clinical-population of delusional jealousy in Sri Lanka
Introduction: Delusional jealousy has received limited attention in the psychiatric literature. Information on prevalence and demographical trends of delusional jealousy are essential in the design of effective control measures are sparse and fragmentary. Present study was aimed to describe case numbers and socio-demographic characteristics of patients with delusional jealousy reported to selected mental health services in Sri Lanka. Methods: A descriptive cross-sectional study was conducted from May to August 2017, in three public hospitals and one private psychiatric clinic. Data were collected using a general information sheet and a structured interview schedule. Results: Fifty (65.78%) out of 76 reported cases during the period were new cases. The mean (SD) age of the patients was 44.15 (11.58) years. Selected sample consisted of 55 patients (male=39, 70.9 %). Thirty-seven (67.2%) were married and lived with their spouses. The majority were Buddhists (N=50, 90.9%) and Sinhalese (N=54, 98.2%). Fifty (90.9%) had children together with the partner. Twenty-three (41.68%) were not Ordinary Level qualified and 36 (66.7%) patients were employed. Conclusions: The majority of patients were married, middle aged males, from lower educational and economic backgrounds. Follow-up consultations were less. Most patients were functional despite the condition. The majority of the patients lived together with their partners and children in the same household which might precipitate a risk of violence towards the partners and subjective exposure of children towards violence.
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