澳大利亚人群中的双重抑郁症。
Double depression in an Australian population.
作者信息
Goldney Robert D, Fisher Laura J
机构信息
Dept. of Psychiatry, University of Adelaide, The Adelaide Clinic, 33 Park Terrace, Gilberton, South Australia 5081.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2004 Nov;39(11):921-6. doi: 10.1007/s00127-004-0832-7.
BACKGROUND
Double depression, or dysthymia with superimposed major depression, is a major public health issue that imposes considerable burden on the community. Double depression and its associated morbidity have not previously been delineated in an Australian population.
METHODS
A random and representative sample of the South Australian population was assessed by trained interviewers. The mood module of the Primary Care Evaluation of Mental Disorders (PRIME-MD), the Short-Form Health Status Questionnaire (SF-36), and Assessment of Quality of Life (AQoL) instruments were administered, and data related to treatment use and role functioning were collated.
RESULTS
Double depression was present in 2.2% of the population. This group reported high levels of treatment-seeking behaviour with 90% seeking treatment in the last month and 42.4 % taking antidepressants. They also had a highly significantly poorer quality of life than did others in the community.
CONCLUSIONS
The 2.2% of the population with double depression reported high use of services with poor functioning and health-related quality of life. More effective intervention strategies are required.
背景
双重抑郁症，即伴有叠加性重度抑郁症的心境恶劣障碍，是一个重大的公共卫生问题，给社区带来了相当大的负担。此前澳大利亚人群中尚未对双重抑郁症及其相关发病率进行过描述。
方法
由经过培训的访谈者对南澳大利亚人群进行随机抽样且具有代表性的评估。使用了精神障碍初级保健评估（PRIME-MD）的情绪模块、简短健康状况调查问卷（SF-36）以及生活质量评估（AQoL）工具，并整理了与治疗使用和角色功能相关的数据。
结果
双重抑郁症在人群中的患病率为2.2%。该群体报告显示出较高的寻求治疗行为水平，90%的人在过去一个月内寻求过治疗，42.4%的人服用过抗抑郁药。他们的生活质量也显著低于社区中的其他人。
结论
患有双重抑郁症的2.2%的人群报告显示，他们对服务的利用率较高，但功能较差且与健康相关的生活质量较低。需要更有效的干预策略。
Zotero 插件