Forkmann Thomas, Norra Christine, Wirtz Markus, Vehren Thomas, Volz-Sidiropoulou Eftychia, Westhofen Martin, Gauggel Siegfried, Boecker Maren
Institute of Medical Psychology and Medical Sociology, University Hospital of RWTH Aachen, Pauwelsstraße 30, 52074 Aachen, Germany.
BMC Ear Nose Throat Disord. 2011 Aug 31;11:7. doi: 10.1186/1472-6815-11-7.
High prevalence of depression has been reported in otorhinolaryngologic patients (ORL). However, studies using a semi-structured interview to determine the prevalence of depression in ORL are lacking. Therefore the present study sought to determine the depression prevalence in ORL applying a semi-structured diagnostic interview and to further characterize the pathopsychological and demographic characteristics of depression in these patients.
One-hundred inpatients of the otorhinolaryngologic department of a German university hospital participated voluntarily (age M = 38.8 years, SD = 13.9; 38.0% female). Depression was assessed using a clinical interview in which the International Diagnostic Checklist for depression (IDCL) was applied. Patients completed the Brief Symptom Inventory (BSI) which constitutes three composite scores and nine symptom scales and the Beck Depression Inventory (BDI). Multivariate analyses of variance, correlations and effect sizes were conducted.
A prevalence of depression of 21.0% was determined, 38.0% of the depressed patients were female. Depressed patients showed higher scores on the BSI-scales "interpersonal sensitivity", "depression", "anxiety", "phobic anxiety" and "psychoticism" with medium effect sizes.
High prevalence of depression was found which is in accordance with results of prior studies. Depressed patients showed higher psychological distress as compared to non-depressed patients. The results call for carrying on in engaging in depression research and routine depression screening in ORL.
据报道，耳鼻咽喉科患者（ORL）中抑郁症的患病率较高。然而，缺乏使用半结构化访谈来确定ORL患者抑郁症患病率的研究。因此，本研究旨在通过半结构化诊断访谈确定ORL患者的抑郁症患病率，并进一步描述这些患者抑郁症的病理心理和人口统计学特征。
德国一家大学医院耳鼻咽喉科的100名住院患者自愿参与（年龄M = 38.8岁，标准差 = 13.9；38.0%为女性）。使用临床访谈评估抑郁症，其中应用了国际抑郁症诊断清单（IDCL）。患者完成了简短症状问卷（BSI），该问卷包括三个综合评分和九个症状量表以及贝克抑郁量表（BDI）。进行了多变量方差分析、相关性分析和效应量分析。
确定抑郁症患病率为21.0%，38.0%的抑郁症患者为女性。抑郁症患者在BSI量表“人际敏感”、“抑郁”、“焦虑”、“恐惧焦虑”和“精神病性”上得分较高，效应量中等。
发现抑郁症患病率较高，这与先前的研究结果一致。与非抑郁症患者相比，抑郁症患者表现出更高的心理困扰。研究结果呼吁继续开展ORL患者的抑郁症研究和常规抑郁症筛查。
