中国临床心理学杂志

综合性医院冠心病病人抑郁/焦虑现况研究

单位：1. 复旦大学公共卫生学院流行病学教研室上海 200032
2. 四川大学华西公共卫生学院流行病学教研室四川 610041
3. 北京大学公共卫生学院流行病学教研室
4. 中山大学公共卫生学院流行病学教研室

关键词：冠心病焦虑抑郁综合医院

分类号：R395.6

出版年,卷(期):页码：2006,14(6):638-640

摘要：

目的:了解综合性医院冠心病患者抑郁和/或焦虑症状患病率及既往诊治情况。方法:采用现况研究方法,于2004年6月1日到12月1日在北京、上海、广州和成都的7家综合性医院的心内科连续收集确诊的冠心病患者359例。由经培训的调查员用统一的调查表进行面对面调查,同时使用综合医院焦虑抑郁量表(HAD)、Hamilton焦虑量表和Hamilton抑郁量表进行心理测评。结果:冠心病患者的抑郁症状、焦虑症状、抑郁合并焦虑症状以及合计的抑郁和/或焦虑症状患病率分别为19.8%,16.7%,13.6%和22.8%;在具有抑郁和/或焦虑症状的非首诊患者中,冠心病患者既往被诊断为抑郁和/或焦虑障碍和接受抗抑郁和/或焦虑治疗的比例均低于4%;住院患者在本次住院期间的抑郁焦虑诊治率低于1%。结论:综合医院冠心病病人具有较高的抑郁和/或焦虑症状和抑郁和/或焦虑障碍患病率,且既往诊治率较低。

Objective:To describe the prevalence of depressive and/or anxiety symptom and disorder in patients with coronary heart disease(CHD) in the general hospitals.Methods:A hospital-based cross-sectional study was conducted in four main cities in China in 2004.359 eligible subjects with CHD were recruited from the outpatient or inpatient departments within six months.Face-to-face interviews were used in data collection together with the self-completed HAD scale for depressive and/or anxiety symptom screening.Subjects getting a HAD score of 9 and above were further assessed for depressive and/or anxiety disorders with HAMA scales and HAMD scales by the licensed psychologists or psychiatrists.Results:The prevalence of depressive symptoms,anxiety symptoms,depressive and anxiety symptoms,and total depressive and/or anxiety symptoms were 19.8%,16.7%,13.6% and 22.8% respectively in patients with CHD.Less than 4% of the subjects had been diagnosed or treated for the depressive or anxiety disorders prior to the investigation.In inpatients,the diagnosis and treatment rate was low to less than 1% during the current admission.Conclusion:It was noticeable to health care providers and health policy makers that there was high prevalence of depressive and/or anxiety symptoms and depressive and/or anxiety disorders,and low percentages of previous diagnosis and treatment in patients with CHD in general hospitals.

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参考文献：

[1] 吴兆苏,姚崇华,赵冬,等.我国多省市心血管病趋势及决定因素的人群监测(中国MONICA方案):发病率和死亡率监测结果.中华心血管病杂志,1997,25(1):6-11
[2] 吴贵贤,吴兆苏,刘军,等.北京部分地区15年心脑血管病死亡率变化趋势.中华预防医学杂志,2001,35(2):98-101
[3] 周英,尤黎明.冠心病病人心理健康状况调查及护理.中华护理杂志,2003,38(11):836-838
[4] 任显峰,白慧丽,郑素娟.冠心病患者的情绪障碍和述情障碍.健康心理学杂志,2003,11(3):231-232
[5] 古丽松,林艳,木妮拉.冠心病患者的情感问题和临床意义.心血管康复医学杂志,2002,11(3):220-221
[6] 王雪莱,马叶新,程龙献,等.冠心病住院患者情绪障碍的现患率观察.湖北省卫生职工医学院学报,2004,17(2):60-61
[7] 朱金富,杨德森,肖水源,等.冠心病患者行为特征与情绪的相关性研究.中国临床心理学杂志,2005,13(3):356-357
[8] 叶维菲,徐俊冕.HADS在综合医院的应用与评价.中国行为医学杂志,1993,2(3):17-19
[9] 张明园.精神科手册.上海:上海科学技术出版社,1999.425-430
[10] The WHO World Mental Health Survey Consortium.Prevalence,Severity,and Unmet Need for Treatment of Mental Disorders in the World Health Organization World Mental Health Surveys.JAMA,2004,291(21):2581-2590
[11] 陆林,黄明生,孙学礼,等.内科住院患者情感性精神障碍的研究.中华精神科杂志,1998,31(4):234-236
[12] 肖世富,严和懃,陆余芬,等.世界卫生组织初级卫生保健病人心理合作研究的上海样本结果.中华精神科杂志,1997,30(2):90-94
[13] 王苑华,朱培俊,徐松泉,等.神经内科住院患者心境障碍的研究.健康心理学杂志,2001,9(4):246-248

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