摘要
目的:筛查北京市长青园地区社区门诊就诊患者焦虑抑郁状态发生情况。方法:调查样本来源于整群抽取的2004-10在北京市长青园地区社区门诊就诊患者103例。采用医院焦虑抑郁量表(由14条目组成,其中7个条目评定焦虑,7个条目评定抑郁;0～7分属无症状,8～10分属症状可疑,11～21分属存在症状)进行调查。由患者本人如实填写上个月情绪变化,调查者根据量表筛查结果对不同性别、年龄、文化程度、工作状况以及疾病情况下焦虑、抑郁障碍发生情况进行分析评估。结果:103例受试对象的测试结果均纳入结果分析。①不同性别、年龄、文化程度、工作状况焦虑、抑郁障碍发生情况:抑郁障碍发生率高于焦虑障碍发生率(32.0%和21.4%)。男性抑郁障碍发生情况略多于女性(33%和31%);≥60岁离退休老年人中49.4%存在不同程度的情绪障碍;小学及小学以下文化程度的人群的焦虑、抑郁障碍发生率高于初中及以上文化水平的人群(焦虑:25%和20%;抑郁:28%和24%)。②不同疾病情况下焦虑、抑郁障碍发生情况:焦虑、抑郁患者和可疑症状人群患有两种以上慢性病占25.2%,3种以上慢性病占6.8%。结论:北京市长青园地区社区门诊就诊的患者中抑郁状态人数多于焦虑状态人数,焦虑和抑郁障碍的发生率男性略多于女性,文化程度低的发生率低于文化程度高者,患两种以上慢性病的离退休老年人有近半数人存在不同程度的焦虑和抑郁障碍。
AIM： To screen the incidence of anxiety and depressive status among the outpatients in the Changqiagyuan community clinic of Beijing city. METHODS： In October 2004, a cluster sampling of 103 outpatients in the Changqingyuan community clinic of Beijing city were selected in the study. They were investigated with the hospital anxiety-depression scale （consisted of 14 items with 7 for anxiety and 7 for depression; 0-7 points was taken as no symptom, 8-10 points as suspected symptom, 11 to 21 as having symptom）. The emotional changes in the last month were filled by the patients themselves according to the reality. The incidences of anxiety and depressive disorder were evaluated according to the screening outcomes between different gender, age, educational background, working status and diseases. RESULTS： The tested outcomes of the 103 cases were all involved in the analysis of results. ① Incidences of anxiety and depressive disorder between different gender, age, educational background and working status： The incidence rate of depressive disorder was higher than that of anxiety （32.0% and 21.4%）; The incidence rate of depressive disorder was higher in females than in males （33%, 31%）; 49.4% of the retired elderly people ≥ 60 years old had emotional disorder to different degree; The incidence rates of anxiety and depressive disorder were lower in the subjects with the educational level of primary school and below than in those with the educational level of middle school and above （anxiety： 25% and 20%; depression： 58%＇and 24%）. ② Incidences of anxiety and depressive disorder among different condition of disease： Of the patients with anxiety and depression and the suspected crowds, 25.2% had 2 kinds of chronic diseases and more, and 6.8% had 3 kinds and more. CONCLUSION： Of the outpatients in Changqingyuan community clinic of Beijing city, more have depressive status than anxiety, the incidence rates of anxiety and depressive disorder are slightly higher in males than in females
出处
《中国临床康复》
CSCD
北大核心
2005年第24期10-11,共2页
Chinese Journal of Clinical Rehabilitation
