Objective:To explore the effect of a comprehensive hospital with the help of doctor-patient communication skills training for medical personnel doctor-patient communication skills in modern psychoso-matic medicine mode.Method:In 2012 and 2013 a hospital clinicians were recruited physicians and medi-cal technology as the experimental group of 42 people to the hospital clinical work as a doctor in the control group 40 cases, according to"occupational physicians standardized training rules"requirement, the Court of this science physician clinicians and medical technology approved all of the new posts of occupational physi-cians standardized training, relevant scale surveys before and after the training results of two doctors differ-ences.Result:Before training the experimental group and the control group of physicians coping style com-parison of six factor questionnaire showed no significant differences ( P>0.05) .Factor after receiving training experimental group physicians to solve the problem is obviously higher than that of the control group, the difference was statistically significant (P <0.05).reflect the other five factors:.Fantasy coping style, self blame, withdrawal, rationalization factor for help, the difference between the two groups was not statistically significant (P>0.05).Conclusion: The results of the study show that the lack of medical knowledge and current clinicians do exist doctor-patient communication ability of psychosomatic, my courtyard through the training of doctor-patient communication skills model of psychosomatic medicine, the training is helpful to improve the doctor-patient communication skills, occupation accomplishment, reduce the occupation burn-out, coping ability, alleviate depression.It is worth of popularization in hospitals of all levels.

我刊推出的“全科医学中的心理健康病案研究”学术专栏已一年有余，详实地介绍了国外知名专家在处理社区常见的心理问题时的诊疗经验，对我国社区心理服务的发展起到了极大的促进作用，受到了读者的广泛好评。本刊作为国内外全科医学交流的窗口，为推动社区心理研究的继续深入，也为向世界展示我国社区心理工作的成果，本刊特邀李荐中教授撰写本文，以期通过全面的案例分析向国外的同行们展示我国精神心理领域独有的中国文化思想。如果读者您希望推广自己的案例处理经验，希望得到国内外专家的点评，欢迎您登陆《中国全科医学》官网：ht-tp：//www. chinagp. net投稿至本刊，投稿时注明本栏目即可。

Objective To investigate the clinical efficacy and safety of mirtazapine and sertraline in the treatment of patients of depression with anxiety. Methods 96 patients of depression with anxiety in our hospital were divided into two groups according to different treatment method, each group had 48 cases.The control group were received sertraline treatment, while the observation group were received mirtazapine treatment.The therapeutic effect of two groups were observed. Results There was no significant difference in antidepressant treatment effect between two groups(P>0.05).The anxiolytic treatment effect of the observation group was better than that of the control group,and the difference was statistically significant(P < 0.05). The decreased level of Hamilton Anxiety Scale score and Depression Scale score after a week of treatment in the observation group were better than those in the control group,and the difference was statistically significant(P < 0.05).There was no significant difference in incidence of adverse reactions between two groups(P > 0.05). Conclusion The effect of mirtazapine in the treatment of depressive is equivalent to sertraline,but its anxiolytic effect is better than that of the control group,and it has more rapid onset,tolerated adverse reactions,and is worthy of clinical promotion and application.

我刊推出的"全科医学中的心理健康病案研究"学术专栏已有一年有余,翔实地介绍了国外知名专家在处理社区常见的心理问题时的诊疗经验,对我国社区心理服务的发展起到了极大的促进作用,受到了读者的广泛好评。本刊作为国内外全科医学交流的窗口,为推动社区心理学研究的继续深入,也为向世界展示我国社区心理工作的成果,本刊特邀李荐中教授撰写本文,以期通过全面的案例分析向国外的同行们展示我国精神心理领域独有的中国文化思想。如果读者您希望推广自己的案例处理经验,希望得到国内外专家的点评,欢迎您投稿至本栏目,投稿时注明本栏目即可,投稿方式参见本刊2013年1期的《中国全科医学》稿约。

目的:对临床心理科门诊失眠患者心理状况进行相关性临床对比研究。方法:将70例研究对象分为两组,其中失眠患者(35例)作为观察组,睡眠正常者(35例)作为对照组,应用90项症状清单(SCL-90)对两组进行评价,然后对两组结果进行比较与分析。结果:观察组SCL-90各因子分均高于对照组,多数因子差异具有统计学意义(P<0.05)。结论:临床心理科门诊失眠患者较睡眠正常者更易出现焦虑、抑郁、敌对、恐怖、强迫症状、精神病性等症状。

1 病史 惠娟,女,15岁,初中生.平素学习成绩好,很听话.在家庭中一同进餐时(在校就餐无此现象)出现恶心、欲呕吐症状3个月余.父亲为内科主任医师,为其多次体检及医学检查,无阳性所见,并为此查阅大量文献,称用过15种治疗方法,包括各种暗示治疗,均未奏效,故前来求治.