基于CiteSpace的全科医学领域抑郁障碍诊疗相关研究的可视化分析

Visualized analysis of research on the diagnosis and treatment of depressive disorder in general practice on CiteSpace

目的:系统梳理全科医学领域抑郁障碍诊疗相关研究的热点和趋势。方法:以“全科”“抑郁”和“general practi*”“depress*”作为检索词,分别检索中国知网和Web of Science核心合集库的相关中英文文献,检索年限设为2003年1月1日至2022年12月31日。使用Citespace 6.2R2高级版软件对纳入文献的年发文量、研究机构、作者、关键词、突现词和时间区图进行可视化分析。结果:共纳入169篇中文文献和231篇英文文献。从研究趋势上看,国内发文量快速增长,国外保持相对稳定趋势。国内研究机构合作集中在同一地区,以上海的基层医疗中心和专科医院为主,而国外的合作更为松散,以欧洲、澳洲高等院校和大学附属综合医院为中心,合作机构类型更丰富。关键词聚类分析显示,国内研究主要集中在“抑郁症”“焦虑”和“健康状况”等11个主题,国外研究识别出了包括“慢性病”“死亡率”和“抑郁障碍”在内的11个主题。关键词时区分析显示,抑郁症状的患病率及其影响因素、老年人抑郁和生活质量的调查研究为较早期的研究主题,近期转变为以全科门诊精神障碍检出率、家庭医生和全科护理在共病和慢性病管理中的作用评估等方面的主题。结论:国内全科医学领域抑郁障碍诊疗相关研究数量呈上升趋势,国内外研究的重点和前沿主要集中在以医院全科门诊为研究场所,围绕抑郁障碍筛查的有效性和准确性以及对确诊抑郁患者的心理健康干预和全周期管理等主题展开研究。

Objective To systematically review the research hotspots and trends in the diagnosis and treatment of depressive disorder in general practice over the past 20 years.Methods Relevant Chinese and English literature was retrieved from CNKI and the Web of Science Core Collection using search terms"general practice""depression""general practi*"and"depress*".The search period was from January 1,2003,to December 31,2022.Citespace 6.2R2 advanced edition software was used to perform a visual analysis of the annual publication volume,research institutions,authors,keywords,burst terms,and time zone map of the included literature.Results A total of 169 Chinese and 231 English literatures were included.Over the past two decades,the number of literatures in China has grown rapidly,while overseas literatures have remained stable.Domestically,collaborations between research institutions were mainly concentrated within the same region,particularly around primary care centers and specialty hospitals in Shanghai.International collaborations were relatively more dispersed,mainly around higher education institutions and university-affiliated general hospitals in Europe and Australia,showing a more diverse form of collaboration.Keyword cluster analysis showed that domestic studies focused mainly on 11 topics such as"depression""anxiety"and"health status",while foreign studies identified 11 topics including"chronic diseases""mortality"and"depressive disorders".Keyword time zone analysis showed that previous research topics,such as the prevalence of depressive symptoms and their influencing factors,depression and quality of life in the elderly,have recently shifted to include the detection rate of mental disorders in general outpatient practice,as well as an evaluation of the role of family doctors and general care in comorbid and chronic disease management.Conclusions Domestic research on the diagnosis and treatment of depressive disorders in general practice is increasing.The focus and frontiers of domestic and foreign research are mainly focused on the effectiveness and accuracy of screening for depressive disorder,and mental health intervention and whole-cycle management for patients diagnosed with depression.