MRC General Practice Research Framework, Stephenson House, 158-160 North Gower Street, London NW1 2ND, UK.
Br J Psychiatry. 2009 Dec;195(6):520-4. doi: 10.1192/bjp.bp.108.058636.
There is a paucity of data describing how general practitioners (GPs) label or record depression.
To determine incidence and sociodemographic variation in GP-recorded depression diagnoses and depressive symptoms.
Annual incidence rates calculated using data from 298 UK general practices between 1996 and 2006, adjusted for year of diagnosis, gender, age and deprivation.
Incidence of diagnosed depression fell from 22.5 to 14.0 per 1000 person-years at risk (PYAR) from 1996 to 2006. The incidence of depressive symptoms rose threefold from 5.1 to 15.5 per 1000 PYAR. Combined incidence of diagnoses and symptoms remained stable. Diagnosed depression and symptoms were more common in women and in more deprived areas.
Depression recorded by general practitioners has lower incidence rates than depression recorded in epidemiological studies, although there are similar associations with gender and deprivation. General practitioners increasingly use symptoms rather than diagnostic labels to categorize people's illnesses. Studies using standardised diagnostic instruments may not be easily comparable with clinical practice.
关于全科医生（GP）如何标注或记录抑郁症，相关数据十分有限。
旨在确定 GP 记录的抑郁诊断和抑郁症状的发生率和社会人口统计学差异。
利用 1996 年至 2006 年间 298 家英国全科诊所的数据，计算出每年的发病率，该数据经过诊断年份、性别、年龄和贫困程度的调整。
从 1996 年到 2006 年，诊断为抑郁症的发病率从每 1000 人年风险（PYAR）22.5 降至 14.0，而抑郁症状的发病率则从每 1000 PYAR 的 5.1 上升到 15.5。诊断和症状的综合发病率保持稳定。抑郁症和症状在女性和贫困地区更为常见。
与流行病学研究相比，全科医生记录的抑郁症发病率较低，尽管其与性别和贫困程度的关联相似。全科医生越来越多地使用症状而不是诊断标签来对患者的疾病进行分类。使用标准化诊断工具的研究可能与临床实践不太容易进行比较。
