成都市综合医院门诊患者抑郁焦虑障碍诊治状况研究

【】　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（HospitalAnxietyandDepressionScale，HADS）、患者健康问卷（PatientHealthQuestionnaire15-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。？【Abstract】　Objective　Toinvestigatetheprevalenceofdepressivedisordersand(or)anxietydisordersandphysicians’detectionrateofthesedisordersingeneralhospitalsinChengdu.　Methods　FromApriltoMay,2007,ahospital-basedcross-sectionalsurveywasconductedinneurology,gastrointestinal,gynecologyandvasculocardiologydepartmentsinWestChinaHospitalandWestChinaSecondHospital.OutpatientswerescreenedbyusingHospitalAnxietyandDepressionScale(HADS)andPatientHealthQuestionnaire15-Item(PHQ-15).PsychiatristsinterviewedsubjectswhosescoreofHADSwere8andaboveandmadediagnosesbyusingMiniInternationalNeuropsychiatricInterview(MINI)accordingtothecriteriaofDiagnosticandStatisticalManualofMentalHealthDisorders4thEdition(DSM-IV).　Results　Theadjustedcurrentandlifetimeprevalenceofdepressivedisorderswere19.26%and22.32%,respectively,andthoseofanxietydisorderswere9.16%and9.63%,respectively.Theprevalenceofdepressivedisordersand/oranxietydisordersamongfourdepartmentshadstatisticallysignificantdifference.Thedetectionrateofthesedisordersbyoutpatientphysicianswas10.57%.　Conclusion　PrevalenceofdepressivedisordersandanxietydisordersamongoutpatientsinWestChinaHospitalandWestChinaWomenandChildrenHospitalishigh,andtherateofphysicians’detectionneedstobeimproved.