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综合医院门诊患者焦虑抑郁症状的筛查研究

Screening of anxiety and depressive symptoms in outpatients in general hospitals
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摘要 目的了解综合性医疗机构门诊就诊患者的焦虑和抑郁症状。方法采用非概率抽样方法对中国12个城市的19家三级甲等医院门诊患者进行调查研究。研究时间为2017年3-8月。门诊患者使用手机接入医院免费的无线网络时收到推送的调查问卷,匿名填写患者健康问卷-9(PHQ-9)和广泛性焦虑障碍问卷(GAD-7)。结果32631例门诊患者完成PHQ-9和GAD-7填写。8945例抑郁症状筛查阳性,阳性率为27.41%,其中70.30%的患者同时伴有中度以上的焦虑症状。焦虑症状筛查阳性率为38.29%,6285例患者抑郁症状和焦虑症状均筛查阳性,共病率达19.26%,女性筛查阳性率均略高于男性。结论三级甲等综合医院门诊患者抑郁、焦虑症状筛查阳性率较高,且共病情况较严重。 Objective To understand the anxiety and depression symptoms of outpatients in comprehensive medical institutions. Methods Non-probabilistic sampling method was used to investigate outpatients of 19 3A hospitals in 12 cities in China from March to August 2017. The survey was delivered to patient's cell phone through free WIFI in out-patient department. The internet panel survey was an anonymous and non-probability survey which contains PHQ-9 and GAD-7 scales. Results A total of 32 631 patients completed both PHQ-9 and GAD-7.8 945 patients were screened as positive for depression, with a 27.41% positive rate. 70.30% of the patients were accompanied by moderate or above anxiety symptoms. Positive rate of anxiety was 38.29%, and 6 285 (19.26%) patients were screened as positive for both depression and anxiety. The comorbidity was 19.26%. Positive rate was high in female than in male slightly. Conclusions The positive rate of depression or anxiety are quite high in patients of 3A general hospitals, and the comorbiditv is also critical.
作者 丰雷 王巍巍 杨丽 王涛 胡昌清 Feng Lei, WangWeiwei, Yang Li, Wang Tao, Hu Changqing National Clinical Research Center for Mental Disorders, Beijing Anding Hospital Affiliated to Capital Medical University, Belting 100088, China; Beifing Key Laboratory of Mental Disorders, Beifing Anding Hospital Affiliated to Capital Medical University, Belting 100088, China ; Mizidian Hospital in Tongzhou District, Beifing 101112, China; Medical Department, Geriatric Hospital of Beijing Tongzhou District, Beijing 101116, China; Department of Psychiatry and Mental Health, Capital Medical University, Beijing 100054, China)
出处 《神经疾病与精神卫生》 2018年第6期401-404,共4页 Nervous Diseases and Mental Health
基金 国家重点研发计划项目(2016YFCl307200) 北京市医院管理局重点医学发展计划项目(ZYLX201607) 北京市医院管理局"登峰"人才培养计划专项经费资助(DFL20151801)
关键词 抑郁 焦虑 综合医院 门诊 Depression Anxiety General hospital Outpatients
作者简介 通信作者:胡昌清,Email:coannhu@aliyun.com
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