综合医院更年期妇女抑郁焦虑患病情况调查

Prevalence study of climacteric anxiety and depression in general hospitals

目的了解成都市综合医院更年期综合征妇女中焦虑、抑郁的患病情况,分析其影响因素,制定干预措施。方法采用方便抽样从成都市抽取3所综合医院,在这3所综合医院同时连续抽样收集妇产科确诊的更年期综合征妇女患者101例。对医院焦虑抑郁量表(HAD)评分≥9分的患者由精神科医生使用Hamilton量表进一步确诊。结果调查对象焦虑症患病率为12.9%,抑郁症患病率为14.9%;76.9%的焦虑患者同时患有抑郁症,66.7%抑郁患者同时患有焦虑症;无1例焦虑症患者曾被诊断为焦虑症并接受相应治疗,仅4例抑郁症患者(26.7%)曾被诊断为抑郁症并接受相应治疗;医疗保险和病情变化为抑郁和焦虑的危险因素。结论更年期综合征妇女焦虑和抑郁患病率较高;焦虑和抑郁症诊断率和治疗率均很低。

Objective： To investigate the prevalence and its determinants of climacteric anxiety and depression in general hospitals in Chengdu city. Methods： 3 general hospitals were selected by convenience sampling method, among which 101 patients with climacteric disease were collected continuously. All the subjects were assessed by Hospital Anxiety and Depression Scale （ HADS）, Hamilton anxiety scale （HAMA） and Hamilton depression scale （HAMD） by a psychiatrist. Results. 12. 9% patients were identified as anxiety, 14.9% as depression, 76. 9% patients with anxiety as co - morbidity of depression, 66. 7% patients with depression as co - morbidity of anxiety. No anxiety patients were diagnosed as anxiety and received anti - anxiety treatment. Only 26. 7% depression patient was diagnosed as depression and received anti - depression treatment in the past. Medical care and the change of illness state were risk factors for depression and anxiety. Conclusion： The prevalence of anxiety and depression is quite high, and also the rates of diagnosis and treatment are pretty low.