Jiang Rong-huan, Dang Wei-min, Ma Hong, Liu Mei-yan, Bai Wen-pei, Wei Jing, He Yan-ling
Peking University Mental Health Institute, Beijing 100191, China.
Zhonghua Nei Ke Za Zhi. 2010 Jun;49(6):477-9.
To explore the level of identification and related factors of depression in physicians of Beijing tertiary general hospitals.
A cross-sectional investigation was used to screen the outpatients, and depression was diagnosed according to Mini International Neuropsychiatric Interview (MINI). Identification of depression was defined as referral to psychiatrist or managed with antidepressant or sedative hypnotics.
Among 248 cases of depression, 30 (12.1%) were referred to psychiatrists, 28(8.9%) managed with antidepressant or sedative hypnotics. The identification rate of depression by physicians was 21.0%, and the identification rate by neurologist was 40.4%, which is higher than the rate by cardiologist (22.4%), gastrointestinal physician (3.8%) and gynecologist (2.0%) (χ2=61.077, P<0.05). Visiting neurology department, severity of life impairment, with psychotic distress history, had psychological complaints, co-morbidity with anxiety related to the physician's identification of depression. Among the psychological complaints, only mood disorder and insomnia were related to the physician's identification of depression.
The level of depression identification by physician was low, the level of neurologist was higher than that of cardiologist, gastrointestinal physician and gynecologist. The patient with serious life impairment, psychotic distress history, mood disorder and insomnia complaints was easily to be identified.
探讨北京三级综合医院医生对抑郁症的识别水平及相关因素。
采用横断面调查方法对门诊患者进行筛查，依据迷你国际神经精神访谈（MINI）诊断抑郁症。抑郁症的识别定义为转诊至精神科医生处或使用抗抑郁药或镇静催眠药治疗。
在248例抑郁症患者中，30例（12.1%）转诊至精神科医生处，28例（8.9%）使用抗抑郁药或镇静催眠药治疗。医生对抑郁症的识别率为21.0%，神经科医生的识别率为40.4%，高于心内科医生（22.4%）、消化内科医生（3.8%）和妇科医生（2.0%）（χ2=61.077，P<0.05）。就诊于神经科、生活受损严重程度、有精神病性困扰史、有心理主诉、合并焦虑与医生对抑郁症的识别相关。在心理主诉中，仅情绪障碍和失眠与医生对抑郁症的识别相关。
医生对抑郁症的识别水平较低，神经科医生的识别水平高于心内科医生、消化内科医生和妇科医生。生活受损严重、有精神病性困扰史、有情绪障碍和失眠主诉的患者容易被识别。
