Prevalence of Depression and (or) Anxiety Disorders among Outpatients in General Hospitals in Chengdu_West China Medical Journal

Authors：

LI Xiaojing ,  ZHANG Lan , LI Bin

Mental Health Center of West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZHANG Lan, Email: xiaojing_ly@hotmail.com

Keywords：

抑郁; 焦虑; 患病率; 门诊患者

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【摘要】　目的　了解成都市综合医院门诊患者抑郁障碍和焦虑障碍的患病率及门诊医生的识别率。　方法　 2007年4-5月应用医院焦虑抑郁量表（Hospital Anxiety and Depression Scale，HADS）、患者健康问卷（Patient Health Questionnaire 15-Item，PHQ-15）对在四川大学华西医院和华西第二医院神经内科、消化内科、妇科和心血管内科门诊就诊的685例患者进行筛查。HADS≥8分者进入精神科访谈，由精神科医生使用国际神经精神科简式访谈问卷进行诊断。　结果　综合医院门诊患者抑郁障碍校正后的现患率和终身患病率分别为19.26%和22.32%，焦虑障碍校正后的现患率和终身患病率分别为9.16%和9.63%。各科患病率不同，科室间患病率的差异有统计学意义。门诊医生的识别率为10.57%。　结论　成都市综合医院门诊患者抑郁障碍和焦虑障碍的患病率较高，识别率有待提高。
【Abstract】　Objective　 To investigate the prevalence of depressive disorders and (or) anxiety disorders and physicians’ detection rate of these disorders in general hospitals in Chengdu.　Methods　 From April to May, 2007, a hospital-based cross-sectional survey was conducted in neurology, gastrointestinal, gynecology and vasculocardiology departments in West China Hospital and West China Second Hospital. Outpatients were screened by using Hospital Anxiety and Depression Scale (HADS) and Patient Health Questionnaire 15-Item (PHQ-15). Psychiatrists interviewed subjects whose score of HADS were 8 and above and made diagnoses by using Mini International Neuropsychiatric Interview (MINI) according to the criteria of Diagnostic and Statistical Manual of Mental Health Disorders 4th Edition (DSM-IV).　Results　 The adjusted current and lifetime prevalence of depressive disorders were 19.26% and 22.32%, respectively, and those of anxiety disorders were 9.16% and 9.63%, respectively. The prevalence of depressive disorders and/or anxiety disorders among four departments had statistically significant difference. The detection rate of these disorders by outpatient physicians was 10.57%.　Conclusion　 Prevalence of depressive disorders and anxiety disorders among outpatients in West China Hospital and West China Women and Children Hospital is high, and the rate of physicians’ detection needs to be improved.

Citation： LI Xiaojing,ZHANG Lan,LI Bin. Prevalence of Depression and (or) Anxiety Disorders among Outpatients in General Hospitals in Chengdu. West China Medical Journal, 2011, 26(2): 192-194. doi: Copy

1.	Sullivan MD, LaCroix AZ, Baum C, et al. Functional status in coronary artery disease: a one-year prospective study of the role of anxiety and depression[J]. Am J Med, 1997, 103(5): 348-356.
2.	Williams LS, Ghose SS, Swindle RW. Depression and other mental health diagnoses increase mortality risk after ischemic stroke[J]. Am J Psychiatry, 2004, 161(6): 1090-1095.
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9.	司天梅, 舒良, 党卫民, 等. 简明国际神经精神访谈中文版的临床信效度[J]. 中国心理卫生杂志, 2009, 23 (7): 493-497.
10.	Pakriev S, Kovalev J, Mozhaev M. Prevalence of depression in a general hospital in Izhevsk, Russia[J]. Nord J Psychiat, 2009, 63(6): 469-474.
11.	何燕玲, 马弘, 张岚, 等. 综合医院就诊者中抑郁焦虑障碍的患病率调查[J]. 中华内科杂志, 2009, 48 (9): 748-751.
12.	高志勤, 余海鹰, 白战生, 等. 情感性精神障碍的气候影响——中国7地区流行病学资料再分析[J]. 临床精神医学杂志, 2003, 13 (1): 8-9.
13.	Stella F, Banzato CE, Barasnevicius Quagliato EM, et al. Depression in patients with Parkinson’s disease: impact on functioning[J]. J Neurol Sci, 2008, 272(1-2): 158-163.
14.	Cigognini MA, Furlanetto LM. Diagnosis and pharmacological treatment of depressive disorders in a general hospital[J]. Rev Bras Psiquiatr, 2006, 28(2): 97-103.
15.	Rentsch D, Dumont P, Borgacci S, et al. Prevalence and treatment of depression in a hospital department of internal medicine[J]. Gen Hosp Psychiatry, 2007, 29(1): 25-31.

1. 　Sullivan MD, LaCroix AZ, Baum C, et al. Functional status in coronary artery disease: a one-year prospective study of the role of anxiety and depression[J]. Am J Med, 1997, 103(5): 348-356.
2. 　Williams LS, Ghose SS, Swindle RW. Depression and other mental health diagnoses increase mortality risk after ischemic stroke[J]. Am J Psychiatry, 2004, 161(6): 1090-1095.
3. 　Kisely SR, Goldberg DP. Physical and psychiatric comorbidity in general practice[J]. Brit J Psychiatry, 1996, 169(2): 236-242.
4. 　Cassem EH. Depressive-disorders in the medically ill: an overview[J]. Psychosomatics, 1995, 36(2): S2-S10.
5. 　Arolt V, Rothermundt M. Depressive disorder in patients with somatic illnesses[J]. Nervenarzt, 2003, 74(11): 1033-1052.
6. 　肖泽萍, 严和骏, 肖世富, 等. 综合性医院门诊病人抑郁障碍的研究[J]. 中华医学杂志, 1999, 79(5): 329-331.
7. 　叶维菲, 徐俊冕. “综合性医院焦虑抑郁量表”在综合性医院病人中的应用与评价[J]. 中国行为医学杂志, 1993, 2(3): 17-19.
8. 　Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms[J] . Psychosom Med, 2002, 64(2): 258-266.
9. 　司天梅, 舒良, 党卫民, 等. 简明国际神经精神访谈中文版的临床信效度[J]. 中国心理卫生杂志, 2009, 23 (7): 493-497.
10. 　Pakriev S, Kovalev J, Mozhaev M. Prevalence of depression in a general hospital in Izhevsk, Russia[J]. Nord J Psychiat, 2009, 63(6): 469-474.
11. 　何燕玲, 马弘, 张岚, 等. 综合医院就诊者中抑郁焦虑障碍的患病率调查[J]. 中华内科杂志, 2009, 48 (9): 748-751.
12. 　高志勤, 余海鹰, 白战生, 等. 情感性精神障碍的气候影响——中国7地区流行病学资料再分析[J]. 临床精神医学杂志, 2003, 13 (1): 8-9.
13. 　Stella F, Banzato CE, Barasnevicius Quagliato EM, et al. Depression in patients with Parkinson’s disease: impact on functioning[J]. J Neurol Sci, 2008, 272(1-2): 158-163.
14. 　Cigognini MA, Furlanetto LM. Diagnosis and pharmacological treatment of depressive disorders in a general hospital[J]. Rev Bras Psiquiatr, 2006, 28(2): 97-103.
15. 　Rentsch D, Dumont P, Borgacci S, et al. Prevalence and treatment of depression in a hospital department of internal medicine[J]. Gen Hosp Psychiatry, 2007, 29(1): 25-31.

West China Medical Journal

Prevalence of Depression and (or) Anxiety Disorders among Outpatients in General Hospitals in Chengdu

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