综合医院非精神／心理科门诊焦虑障碍现况调查

Cross-sectional study of anxiety disorders among non-psychiatric outpatients in general hospitals

目的:调查综合医院非精神/心理科门诊患者焦虑障碍的检出率及其危险因素。方法:采用分层抽样方法,应用复合性国际诊断交谈表(CIDI-3.0)对北京、西安、广州3城市3级别的9家综合医院非精神科门诊≥15岁的1083例患者进行筛查与诊断,调查综合医院非精神科门诊焦虑障碍的检出率,并分析焦虑障碍发生的危险因素。结果:共检出焦虑障碍患者82例,检出率为7.6%,其中合并特殊恐惧症(3.2%)和强迫症(2.8%)较多见。多因素非条件Logistic回归分析显示内科就诊(OR=1.93)、年龄15～39岁(OR=2.56)、受教育年限≤6年(OR=3.38)的患者更易患焦虑障碍。结论:综合医院非精神科门诊患者中合并焦虑障碍多见,年轻、受教育程度低可能为焦虑障碍的危险因素,内科患者较多合并有焦虑障碍。

Objective： To investigate the occurrence and risk factors of anxiety disorders among non-psychiatric outpatients in general hospitals. Methods： A hospital-based cross-sectional study was conducted in 9 threeranked general hospitals in Beijing, Xi＇an and Guangzhou through August 2009 to December 2010, using the World Health Organization Composite International Diagnostic Interview Version 3.0 （CIDI-3.0）. A sample of 1083 nonpsychiatric outpatients aged 15 years and older were selected by stratified sampling and analyzed to describe the distribution of anxiety disorder and related risk factors. Results： Eighty-two patients （7.6%） were diagnosed as anxiety disorders. Specific phobia （3.2%） and obsessive-compulsive disorder （2. 8% ） were most common anxiety disorders among non-psychiatric outpatients in general hospitals. Multivariate non-conditional logistic regress analysis showed that non-psychiatric outpatients who visited department of internal medicine （ OR = 1.93）, being under 40 years old （OR =2. 56）, education years ≤6 （OR =3.38） had more risk to have anxiety disorders. Conclusion： It indicates anxiety disorders are conlmon among non-psychiatric outpatients in general hospitals. Younger age and lower education level may be the risk factors of anxiety disorder. Outpatients in internal departments are more likely to have comorbid anxiety disorders.