上海市某社区卫生服务中心门诊患者抑郁障碍调查

The survey on outpatients with depressive disorders in a community health service center of Shanghai

目的 调查上海市某社区卫生服务中心门诊患者抑郁障碍患病情况.方法 采取综合性医院焦虑抑郁量表（HADS）对门诊847名就诊者进行筛查,对于HADS抑郁亚量表评分≥8分患者采用中文版《简明国际神经精神访谈》（M.I.N.I.）筛查后,根据美国精神障碍诊断和统计手册第4版（DSM-Ⅳ）标准进行抑郁障碍诊断.结果 完成838人有效调查,295例（35.2％）患者HADS评分≥8分,16.1％（135/838）符合M.I.N.I.抑郁障碍诊断标准,其中重性抑郁发作检出率12.6％ （106/838）、心境恶劣检出率2.5％ （21/838）、双相抑郁检出率1.0％ （8/838）.结论 社区卫生服务中心就诊患者中抑郁症状和抑郁障碍检出率较高,应引起重视以加强识别和诊治.

Objective To investigate the prevalence of depressive disorders in the outpatients of a community health service center in Shanghai.Methods Eight hundred and forty-seven outpatients were screened with the Hospital Anxiety and Depression Scale （HADS）.Of the screened outpatients,the patients with depressive scale score of HADS ≥8 were assessed with the MINI international neuropsychiatric interview （M.I.N.I.） and made the diagnosis of depressive disorder according to the criteria of DSM-Ⅳ.Results Eight hundred and thirty-eight outpatients completed the effective investigation,and 295 （35.2%） outpatients had a HADS score ≥ 8.Of the enrolled 838 patients,16.1% （135/838） met the criteria for depressive disorders with major depressive episode 12.6% （106/838）,dysthymia 2.5% （21/838） and bipolar depression 1.0% （8/838）.Conclusion The prevalence rates of depressive symptoms and depressive disorders are high in the community health service center that deserved to be paid more attention for recognition,diagnosis and treatment.