成都市综合医院门诊患者抑郁焦虑障碍诊治状况研究

Prevalence of Depression and(or) Anxiety Disorders among Outpatients in General Hospitals in Chengdu

目的了解成都市综合医院门诊患者抑郁障碍和焦虑障碍的患病率及门诊医生的识别率。方法 2007年4 5月应用医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)、患者健康问卷(PatientHealth Questionnaire 15-Item,PHQ-15)对在四川大学华西医院和华西第二医院神经内科、消化内科、妇科和心血管内科门诊就诊的685例患者进行筛查。HADS≥8分者进入精神科访谈,由精神科医生使用国际神经精神科简式访谈问卷进行诊断。结果综合医院门诊患者抑郁障碍校正后的现患率和终身患病率分别为19.26%和22.32%,焦虑障碍校正后的现患率和终身患病率分别为9.16%和9.63%。各科患病率不同,科室间患病率的差异有统计学意义。门诊医生的识别率为10.57%。结论成都市综合医院门诊患者抑郁障碍和焦虑障碍的患病率较高,识别率有待提高。

Objective To investigate the prevalence of depressive disorders and（or） anxiety disorders and physicians’ detection rate of these disorders in general hospitals in Chengdu.Methods From April to May,2007,a hospital-based cross-sectional survey was conducted in neurology,gastrointestinal,gynecology and vasculocardiology departments in West China Hospital and West China Second Hospital.Outpatients were screened by using Hospital Anxiety and Depression Scale（HADS） and Patient Health Questionnaire 15-Item（PHQ-15）.Psychiatrists interviewed subjects whose score of HADS were 8 and above and made diagnoses by using Mini International Neuropsychiatric Interview（MINI） according to the criteria of Diagnostic and Statistical Manual of Mental Health Disorders 4th Edition（DSM-IV）.Results The adjusted current and lifetime prevalence of depressive disorders were 19.26% and 22.32%,respectively,and those of anxiety disorders were 9.16% and 9.63%,respectively.The prevalence of depressive disorders and/or anxiety disorders among four departments had statistically significant difference.The detection rate of these disorders by outpatient physicians was 10.57%.Conclusion Prevalence of depressive disorders and anxiety disorders among outpatients in West China Hospital and West China Women and Children Hospital is high,and the rate of physicians’ detection needs to be improved.