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亚综合征性抑郁:澳大利亚人群中的患病率、医疗服务利用情况及生活质量

Subsyndromal depression: prevalence, use of health services and quality of life in an Australian population.

作者信息

Goldney Robert D, Fisher Laura J, Dal Grande Eleonora, Taylor Anne W

机构信息

University of Adelaide, Department of Psychiatry, The Adelaide Clinic, 33 Park Terrace, 5081, Gilberton, South Australia.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2004 Apr;39(4):293-8. doi: 10.1007/s00127-004-0745-5.

Abstract

BACKGROUND

A study of the prevalence, use of services and quality of life of those with subsyndromal depression in a random and representative Australian population.

METHODS

A face-to-face Health Omnibus survey of 3010 respondents administered the mood module of the PRIME-MD and the SF-36 and AQoL quality of life instruments.

RESULTS

Subsyndromal depressive symptoms were identified in 12.9% of respondents. There was a gradation of use of services from those with no depression, to those with subsyndromal, other and major depressions. Those with subsyndromal depression scored significantly worse on quality of life measures than those with no depression, but the effect size was small and less than the poorer functioning of those with other depressive syndromes, particularly major depression.

CONCLUSIONS

Subsyndromal depression is very prevalent in the community and worthy of clinical consideration.

摘要

背景

对澳大利亚随机选取的具有代表性人群中亚综合征性抑郁患者的患病率、服务利用情况及生活质量进行的一项研究。

方法

对3010名受访者进行的面对面综合健康调查,采用了PRIME-MD情绪模块、SF-36以及AQoL生活质量量表。

结果

12.9%的受访者被识别出有亚综合征性抑郁症状。从无抑郁者到亚综合征性抑郁、其他抑郁及重度抑郁患者,服务利用情况呈梯度变化。亚综合征性抑郁患者在生活质量指标上的得分显著低于无抑郁者,但效应量较小,且低于其他抑郁综合征患者,尤其是重度抑郁患者的较差功能状态。

结论

亚综合征性抑郁在社区中非常普遍,值得临床关注。

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