内科住院患者情感性精神障碍的研究

The study of emotional disorders in department of internal medicine

目的了解综合医疗机构患者中情感性精神障碍的患病率。方法对综合医院内科４１７例住院患者进行调查，并以中国精神疾病分类与诊断标准第２版修订本和国际疾病分类第１０版诊断标准进行诊断。结果亚临床抑郁性障碍和焦虑性障碍的患病率分别为２３．７％和３４．８％，重性抑郁症、心境恶劣、惊恐障碍和躯体形式障碍的患病率分别为３．６％、２．４％、１．２％和１．０％；内科医师对情感性精神障碍的识别率仅为１０．５％。结论在综合医疗机构患者中情感性精神障碍的患病率较高，应重视对其研究。

Objective This study investigated the prevalence of emotional disorders in general hospital. Methods Four hundred and seventeen inpatients in medical ward were recruited and assessed with Hamilton Anxiety Scale, Hamilton Depression Scale, Self Rating Depression Scale and inventory of emotional disorders for general patients. The subjects were diagnosed by psychiatrist with ICD 10 and the second revised edition of Chinese Classification of Mental Disorders. Results The prevalence of depressive disorders and anxious disorders were 23.8% and 34.8% respectively, and prevalence rate of major depression, dysthymia and panic attack were 3.6%, 2.4% and1.2% respectively. The rate of recognition for these emotional disorders by physician was only 10.5%. Conclusion Emotional disorders are often seen in general hospital. It is very important to emphasize to study these mental disorders and to improve the recognition and treatment for them.