长沙市综合医院门诊就诊者焦虑与抑郁障碍的调查

A Survey on the Prevalence of Depressive and/or Anxiety Disorder of Outpatients in Changsha General Hospitals

目的:通过对综合医院神经内科、消化内科、心血管内科和妇产科普通门诊患者进行焦虑抑郁障碍的调查,了解综合医院门诊焦虑抑郁障碍的患病率。方法:采用医院焦虑抑郁量表(HADS)、患者健康问卷(PHQ-15)、国际神经精神科简式访谈问卷(MINI)、快速抑郁症状学量表-抑郁症自评量表(QIDS-SR16)和Zung焦虑自评量表(SAS),于2007年4月至5月对长沙市三所综合医院的1628例就诊者进行调查。结果:HADS量表评分≥8分的共有829例,进入精神科访谈的有366例。以MINI为诊断标准,抑郁障碍的检出率为7.13%,焦虑障碍的检出率为4.42%。结论:长沙市综合医院普通门诊就诊者抑郁焦虑障碍患病率高,但其识别及接受治疗的比率很低。

Objective： To investigate the prevalence of anxiety and/or depression of outpatients in general hospitals and the distribution in different departments. Methods： 1628 outpatients from 3 hospitals in Changsha were investigated with HADS, PHQ-15, MINI, QIDS-SR16 and SAS in 2007. Results： The prevalence of anxiety and depression was 7.13% and 4.42% respectively in these patients. Correlative analysis suggested that the total score of HADS was significandy positively correlated with the total score of PHQ-15, life, work, social intercourse and loss of working time. Conclusion： It should be noticed that the rate of anxiety and depression is quite high, but the rate of diagnosis and treatment is pretty low in the outpatients of the general hospitals of Changsha .