48例首发抑郁症患者的精神科初诊情况调查

Investigation of first psychiatric visiting in 48 patients with first-onset depression

目的:了解抑郁症患者有关精神科初诊情况。方法:对48例首发抑郁症患者初次就诊精神科时的病程、主动性、非精神科诊治史等进行调查分析。结果:初诊时平均病程(6.4±4.4)个月,仅33.3%患者主动来诊,72.9%曾求治过非精神科。逐步回归分析显示,影响初诊时病程的因素为躯体症状、起病形式、发病年龄及悲观程度;影响就诊主动性的因素是自知力;非精神科就诊行为主要受躯体症状影响。结论:抑郁症患者多就诊不够及时、主动和恰当,其根本原因是对该病的认识不足。

Objective： To understand the psychiatric visiting and related factors in depressive patients.Method：48 patients with first-onset depression were investigated about their course of disease, initiative, history of treatment in nonpsychiatric department, etc. Results：There were 33.3 % to find psychiatric treatment, and 72.9% to nonpsychiatric, the average couse of disease were（6.4± 4.4）months. Progressively regression analysis indicated：the factors of relevant to the cause of disease at first visiting were physical symptoms, onset and age, pessimistic level, to initiative was insight, to nonpsychiatric department was physical symptom. Conclusion： Most depressive patients didn＇t find psychiatric help initiative and on time, the essential reason was not enough to understand it.