Clarke D M, Minas I H, Stuart G W
Monash University, Department of Psychological Medicine, Prince Henry's Hospital, Melbourne, Vic.
Aust N Z J Psychiatry. 1991 Sep;25(3):322-9. doi: 10.3109/00048679109062632.
The aim of this study was to examine the prevalence of psychiatric morbidity in a sample of medical and surgical inpatients in an Australian general hospital. Using the 60-item General Health Questionnaire, the estimated prevalence was 30% (previous studies have yielded estimates generally between 20 and 50%). The prevalence of morbidity was significantly higher in medical (45%) than in surgical (23%) inpatients. Twelve percent of patients (20% of medical patients and 8% of surgical patients) satisfied DSM-III criteria for a current Major Depressive Episode. Anxiety scores on the State-Trait Anxiety Inventory were higher than those reported in general population samples. There were no significant differences between males and females on any scores. The problems associated with the definition and identification of depressive and anxiety syndromes in medical and surgical inpatients are discussed, whilst the importance of this task is emphasized.
本研究的目的是调查澳大利亚一家综合医院内科和外科住院患者样本中精神疾病的患病率。使用包含60个条目的一般健康问卷，估计患病率为30%（以往研究得出的估计值通常在20%至50%之间）。内科住院患者（45%）的疾病患病率显著高于外科住院患者（23%）。12%的患者（内科患者的20%和外科患者的8%）符合当前重度抑郁发作的《精神疾病诊断与统计手册》第三版标准。状态-特质焦虑量表的焦虑得分高于一般人群样本中的报告得分。在任何得分上，男性和女性之间均无显著差异。讨论了内科和外科住院患者中抑郁和焦虑综合征的定义及识别相关问题，同时强调了这项任务的重要性。
