| 刘传新,段明君,李斌,谢玲,杨彦春.综合医院就诊患者躯体疾病与抑郁焦虑障碍共病的现状调查[J].济宁医学院学报,2011,(5):369-371,374 |
| 综合医院就诊患者躯体疾病与抑郁焦虑障碍共病的现状调查 |
| A cross-sectional survey of the prevalence of depressive-anxiety disorders among general hospital patients |
| 投稿时间：2011-09-15 |
| DOI：10.3969/j.issn.1000-9760.2010.05.027 |
| 中文关键词: 抑郁;焦虑;共病;综合医院 |
| 英文关键词: Depression;Anxiety;Comorbidity;General Hospital |
| 基金项目: |
| 作者 | 单位 | | 刘传新 | 济宁医学院精神卫生学院, 山东济宁 272067 | | 段明君 | 成都市第四人民医院, 四川成都 610036 | | 李斌 | 四川大学华西医院精神卫生中心, 四川成都 610041 | | 谢玲 | 四川大学华西医院精神卫生中心, 四川成都 610041 | | 杨彦春 | 四川大学华西医院精神卫生中心, 四川成都 610041 |
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| 中文摘要: |
| 目的 了解综合性医疗机构中就诊患者躯体疾病与抑郁焦虑的共病率。方法 采用多中心、大样本、横断面设计,调查2044例综合医院就诊患者。采用医院焦虑抑郁量表(HADS)和患者健康状况调查表,阳性者进行汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)同时做国际神经精神科简式访谈问卷(MINI)诊断评估。结果 经MINI诊断发现躯体疾病与抑郁焦虑障碍共病率为16.24%。不同就诊科室中的共病率存在差异。结论 躯体疾病与抑郁焦虑共病是综合医院就诊者中,常见问题,不同科室就诊患者共病率存在一定的差异,但正确识别和治疗情况不容乐观。 |
| 英文摘要: |
| Objective To carry out a cross-sectional survey of the prevalence of depressive and anxiety disorder among general hospital patients.Methods A multi-center, hospital-based cross-sectional study was conducted.A total of 2044 subjects were screened by using HADS and General condition survey together with medical history review list and followed by regular clinical visit process.Positive patients were interviewed with HAMA and HAMD.Physician's diagnoses and management were recorded.Mini International Neuropsychiatric Interview(MINI) was used to evaluate by psychiatrists afterwards.Results The prevalence rate of MINI-diagnosed comorbidity of physical disease and depressive disorder, anxiety disorder were 16.24%.There existed significant differences between comorbidity rates in different sections.Conclusion High prevalence and low identification and treatment rate of depressive and/or anxiety disorders were found in the general hospitals.In order to improve the status quo, training program for physicians and specialists other than psychiatric professionals in general hospitals should be enhanced together with psychiatric consultation. |
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