摘要
目的:了解北京市综合医院神经科门诊就诊者中抑郁/焦虑障碍的患病情况和门诊诊治现状。方法:采用现况调查的方法调查3所综合医院神经科门诊就诊者529名。所有纳入者进行医院焦虑抑郁量表筛查,对≥8分者用《简明国际神经精神访谈》作出诊断。结果:矫正后抑郁障碍检出率20.2%,焦虑障碍9.1%,至少符合抑郁或焦虑障碍一项者21.5%。门诊医生对符合抑郁或焦虑患者中的19.8%进行转诊,15.1%给予精神科药物。患者的就诊意愿依次为:药物治疗、心理咨询和精神科就诊。结论:北京市综合医院神经内科门诊患者中具有较高的抑郁/焦虑障碍发生率,门诊医生的诊断和治疗率不高,值得相关部门关注。
Objective： To describe the occurrence of depressive and/or anxiety disorders in neurological outpatients in general hospitals in Beijing. Methods： A hospital-based cross-sectional study was conducted in 3 general hospitals in Beijing. A total of 529 outpatients were recruited within one month. All of the subjects completed the self-rated Hospital Anxiety and Depression （ HAD ） scale for screening. The patients whose HAD scores were 8 and above were interviewed by psychiatrists. Psychiatric diagnoses were made according to the DSM-IV criteria by using the Mini International Neuropsychiatric Interview （ MINI） . Results： The adjusted occurrence rate of depressive disorder was 20. 2%, and that of anxiety disorder was 9. 1%. The adjusted occurrence rate of depressive or anxiety disorder was 21.5%. Only 19. 8% of these patients were recommended to go to see a psychiatrist., and 15.1% were prescribed psychiatric medicine. These patients had more trouble in living, working and sociality. The treatments that patients prefer were medicine, psychotherapy and psychiatry. Conclusion. It is noticeable that high occurrence rate of depressive and/or anxiety disorders have been found in neurological outpatients from general hospitals in Beijing, with the low percentage of treatment.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2009年第9期616-620,共5页
Chinese Mental Health Journal
关键词
抑郁障碍
焦虑障碍
神经科
现况调查
depressive disorder
anxiety disorder
neurology
cross-sectional study
