摘要
目的 探讨中国大城市消化内科功能性消化不良门诊患者抑郁／焦虑症状可能影响因素。方法 采用现况研究方法，在北京、广州和成都的6家综合性医院的消化内科门诊连续收集功能性消化不良患者305例。使用综合医院焦虑抑郁量表进行心理测评，对数据进行多元无序多分类Logistic回归分析。结果 患者自评的目前健康状况与单纯抑郁、单纯焦虑和抑郁合并焦虑发生有统计学关联，目前健康状况差的患者相应OR值分别是6．136（95％cI：2．517～14．954）、4．411（95％CI：1．193～16．312）和9．061（95％CI：3．533～23．237），而没有医疗保险的患者增加发生抑郁合并焦虑症状危险性（OR=4．002，95％CI：1．320～12．134）。结论 中国大城市综合医院功能性消化不良门诊患者的抑郁症状和／或焦虑症状可能与患者自评的目前健康状况差以及没有医疗保险有关。
Objective To explore possible risk factors of depressive and/or anxiety symptoms in outpatients with functional dyspepsia （FD） in the general hospital of main China cities. Methods This was a hospitalbased cross-sectional study condueted in three main cities in China in 2004. 305 eligible subjects with FD were recruited from the outpatient departments continually within three months. Face-to-face interview was used in data collection together with the self-completed HAD scale for depressive and/or anxiety symptoms screening. Muhinomial Logistic Model was adopted in data analysis. Results Subjects with a self-assessment of poor health status （ OR =6. 136, 95% CI：2. 517 ～ 14. 954; OR =4.411, 95% CI： 1. 193 ～ 16. 312 ; OR =9. 061,95% CI：3. 533 ～ 23. 237） was more liable to suffer depressive symptoms, anxiety symptoms and both symptoms and those without medical insures （ OR = 4. 002, 95% CI： 1. 320 ～ 12. 134） had higher risk of depressive and anxiety symptoms. Conclusion It was noticeable to health care providers both in somatic disease care and mental health care that poor health, and no medical insures were possible risk factors for depressive and/or anxiety symptoms in outpatients with FD in general hospitals in urban China.
出处
《中国行为医学科学》
CAS
CSCD
2006年第11期997-998,共2页
Chinese Journal of Behavioral Medical Science
基金
葛兰索史克（中国）投资有限公司资助.
关键词
功能性消化不良
焦虑
抑郁
影响因素
FUnctional dyspepsia
Anxiety symptoms
Depressive symptoms
Risk factors
