综合医院内科门诊不同性别焦虑障碍的患病率比较

Gender differences in prevelence of anxiety disorders of internal medicine outpatients in Shenyang general hospitals

目的了解沈阳市综合医院内科门诊各种焦虑障碍的发生率，并在不同性别之间进行比较。方法采用分层随机整群抽样方法共抽取沈阳市23家三个级别综合医院进行调查，共调查5312例年龄15岁及以上的内科门诊病人。在病人就医内科医生前使用扩展的一般健康问卷（GHQ-12）作为筛查工具，将调查样本分为精神疾病高、中、低危险组，然后由精神科医生使用DSM-IV定式临床检查（SCID-I／P）对筛选高、中、低危险组100％、40％、10％的调查对象进行SCID诊断。结果沈阳市综合医院内科门诊女性焦虑障碍在总发生率（5．50％，95％CI：4．69％～6．44％）高于男性（4．04％，95％CI：3．21％～5．07％），RR值为1．36（95％CI：1．03％～1．80％）。结论沈阳市综合医院内科门诊焦虑障碍发生率女性高于男性。

Objective To describe the prevalence of anxiety disorders of internal medicine outpatient departments in different levels of general hospitals in Shenyang and to compare to the prevalence of the gender differences. Methods Stratified multi-stage cluster randomization was used to identify 23 general hospitals for investigation, a total 5312 internal medicine outpatients above 15 years of age in outpatient departments have been investigated. The researcher used expanded version of General Health Questionnaire（GHQ-12） as a screen instrument to identify subgroups of the sample at high, moderate and low risk, then psychiatrists determined their diagnosis by using structured clinical interview for DSM-IV Axis I Disorders-Patient Edition（SCID-I/P） for 100% of high-risk and 40% of moderate-risk and 10% of low-risk subjects. Results In shenyang internal medicine outpatient departments, the prevalence of anxiety disorders in females （ 5.50% , 95% CI ： 4.69% ～ 6.44% ） was higher than males（4.04%,95%CI：3.21% ～5.07%）.RRwas 1.36（95%CI：1.03% ～ l. 80% ）. Conclusion The prevalence of anxiety disorders in females was higher than males in internal medicine outpatients.