摘要
目的研究综合性医院门诊病人抑郁障碍的患病率、识别和诊治状况。方法以两步筛选法,对15个国家或地区共26969例门诊病人进行了GHD12、GHQ28、复合式国际诊断检查(CIDI)、内科医生检查表等测定。在上海市共有583例完成以上量表测定,男、女比例分别为380%和620%。结果在检查出的所有心理问题中,抑郁障碍患病率居首位;总样本抑郁症和心境恶劣的患病率分别为104%和21%。上海市则分别为40%和06%;上海市内科医生对抑郁障碍的识别率为21%,远低于15个国家资料的中位数556%;内科医生对抑郁障碍的治疗不充分,在上海市内科医生未给予检出病人任何抗抑郁剂治疗。结论在综合性医院的内科病人中,抑郁障碍是最常见的心理障碍。但抑郁障碍多未被内科医师检出且治疗不充分。内科医生的精神医学知识再教育应受到全社会的重视。
Objective To
investigate the prevalence,recognition and treatment of depressive disorders among
outpatients in general hospitals. Methods 26,969 outpatients of general hospitals 15 countries
were interviewed by GHQ28, CIDI and physician interview scale in twostage case identification
process. In Shanghai,583 patients were interviewed by all scales, among them men and women
were in 38.0% and 62.0% respectively. Results Among all the psychological problems, the
prevalence of depressive disorders was listed as the first one. The prevalence of major
depression and dysthymia in the whole sample was 10.4% and 2.1% respectively and in
Shanghai it was 4.0% and 0.6% respectively. The recognized rate of depressive disorders by
physician in Shanghai was 21%, which was much lower than 55.6%the medium among the
fifteen countries. The treatment of depressive disorders by physician was inadequate. None of
antidepressants was prescribed by any of physician for the recognized depressive disorders in
Shanghai. Conclusions Depressive disorders are the most common psychological problems in
the outpatients of general hospitals, but they are underrecognized and inadequately treated in
general hospitals. Reeducation of physician on mental health knowledge must be emphasized
by the whole society.
出处
《中华医学杂志》
CAS
CSCD
北大核心
1999年第5期329-331,共3页
National Medical Journal of China
基金
世界卫生组织合作研究经费资助