Faculty of Medicine, Department of Family Medicine, University of Maribor, Maribor, Slovenia.
Wien Klin Wochenschr. 2010 May;122 Suppl 2:35-9. doi: 10.1007/s00508-010-1337-x.
To identify the prevalence of anxiety and depression in patients with chronic conditions in Slovenian family practices and to identify predictors for anxiety and depression.
Self-administered questionnaires (Zung's self-rating depression scale and Zung's self-rating anxiety scale) in a sample of 800 consecutive family-practice patients. The main outcome measures were depression and anxiety scores in patients with various comorbidities.
A binary logistic regression model for the presence of depression showed that widowed/divorced status, elementary/vocational education, cardiac diseases, migraine and higher levels of chronic pain were independent predictors for the presence of depression. A binary logistic regression model for the presence of anxiety showed that female gender, lower income, cardiac diseases, osteoarthritis and rheumatologic diseases, and higher levels of chronic pain were independent predictors for with the presence of anxiety.
Family physicians should actively and routinely look for the presence of depression and anxiety among their patients, especially among women, patients with lower levels of education, widowed and divorced patients, patients with chronic pain, patients with cardiac and rheumatologic diseases, and patients with migraine. Family doctors should provide better analgesic treatment for patients with chronic pain in order to prevent the development of depression and anxiety.
在斯洛文尼亚家庭诊所中确定患有慢性疾病的患者中焦虑和抑郁的患病率，并确定焦虑和抑郁的预测因素。
对 800 名连续就诊的家庭患者进行了问卷调查（Zung 自评抑郁量表和 Zung 自评焦虑量表）。主要观察指标为各种合并症患者的抑郁和焦虑评分。
用于存在抑郁的二元逻辑回归模型表明，丧偶/离婚状态、小学/职业教育、心脏病、偏头痛和更高水平的慢性疼痛是存在抑郁的独立预测因素。用于存在焦虑的二元逻辑回归模型表明，女性、较低的收入、心脏病、骨关节炎和风湿性疾病以及更高水平的慢性疼痛是存在焦虑的独立预测因素。
家庭医生应积极、常规地在患者中寻找抑郁和焦虑的存在，尤其是女性、教育程度较低、丧偶和离婚的患者、慢性疼痛患者、患有心脏病和风湿性疾病的患者以及偏头痛患者。家庭医生应为慢性疼痛患者提供更好的镇痛治疗，以预防抑郁和焦虑的发生。
