中国临床心理学杂志

广州地区综合医院门诊抑郁/焦虑障碍流行病学调查

作者：区丽明叶瑞繁陈剑张美兰朱春燕耿庆山

关键词：综合医院门诊抑郁焦虑

分类号：R395.2

出版年,卷(期):页码：2009,17(1):61-63

摘要：

目的：对广州地区综合医院门诊就诊病人进行抑郁、焦虑障碍的流行病学调查。方法：通过随机抽样从广州市卫生局抽取15家综合医院，对门诊就诊病人随机抽样调查；首先采用医院焦虑抑郁量表(HADS)作为筛查工具，然后对筛查阳性者进一步用贝克抑郁量表(BDI)及焦虑自评量表自评(SAS)，同时由精神心理科医生用汉密尔顿抑郁量表(HAMD-17)、汉密尔顿焦虑量表(HAMA)对筛查为阳性的调查对象进行评定，最后由精神心理科医生作出明确诊断。结果：1842例研究对象中，筛查为阳性的人数为701人(占38.1%)，其中240人(34.2%)愿意接受进一步的精神心理科检查；抑郁/焦虑筛查阳性率者平均年龄(41.0±17.8)比阴性者年龄(52.9±18.7)年轻(P＜0.05)；女性就诊者中，筛查为阳性人群的比例为66.3%(P＜0.01)。结论：广州地区综合医院门诊就诊病人较多存在抑郁/焦虑障碍情绪，同时，中青年患者和女性患者是抑郁/焦虑障碍情绪出现的高发人群。

Objective: To take an epidemic inventory of depression and anxiety disorders in the out-patient depart ments of comprehensive hospitals in Guangzhou District. Methods: Subjects were chosen and investigated from 15 com prehensive hospitals’ out-patient departments randomly. Firstly, HADS was used for scanning of depression and anxiety. Then BDI, SAS, HAMD-17 and HAMA were applied for further diagnosis. Results: 701 cases were positive among the whole 1842 patients(38.1%), in which 240 cases(34.2%) preferred to have further psychological evaluations. The mean age of the positive ones in the scanning was younger than those negative ones(P<0.05). The females had a higher ratio of posi tive ones in the scanning(66.3%, P<0.01). Conclusion: There is a high rate of positive depression and anxiety disorders in the out-patient departments of comprehensive hospitals in Guangzhou District. Meanwhile, young and middle-aged per sons and females may be the groups who easily suffer from depression and anxiety disorders.

基金项目：

广东省科技计划项目(编号2006B368006)

作者简介：

参考文献：

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