Liu Chang, Liu Meiyan, Jiang Ronghuan, Ma Hong, Wu Xiamin, Luan Shuxin, He Yanling, Wei Jing, Bai Wenpei
*Department of Mental Health, the First Hospital of Jilin University, Changchun; †Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University; ‡Department of Psychology Medicine, Chinese People's Liberation Army (PLA) General Hospital, Chinese PLA Medical School; §Peking University Sixth Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health (Peking University), National Clinical Research Center for Mental Disorders, Beijing; ∥Shanghai Mental Health Center, Shanghai; ¶Peking Union Medical College Hospital; and #Department of Obstetrics and Gynecology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
J Nerv Ment Dis. 2016 Jul;204(7):537-41. doi: 10.1097/NMD.0000000000000531.
This purpose of this study was to explore the prevalence and recognition of depressive disorders in cardiology, gastroenterology, and neurology outpatient departments of general hospitals. Patients screened with a Hospital Anxiety and Depression Scale score of 8 or higher were interviewed by psychiatrists using Mini-International Neuropsychiatric Interview (MINI). Prevalence of depressive disorders within the cohort was determined, sociodemographic data were analyzed for correlations to a depression diagnosis, and comparisons between the surveys and the clinical diagnosis were done to assess recognition of depressive disorders by physicians. Of the patients screened for this study (1552 cases), 12.8% were diagnosed with depressive disorders by MINI, with major depressive disorder, depression due to general medical conditions, and dysthymia having prevalence values of 10.8%, 1.4%, and 0.6%, respectively. As compared with MINI, physicians only recognized 27.6% of any of the depressive disorders. Among the complaints examined, both mood problems and sleeping problems predicted the probability of recognition.
本研究的目的是探讨综合医院心内科、消化内科和神经内科门诊中抑郁症的患病率及识别情况。使用医院焦虑抑郁量表筛查出得分8分及以上的患者，由精神科医生采用简明国际神经精神访谈量表（MINI）进行访谈。确定队列中抑郁症的患病率，分析社会人口统计学数据与抑郁症诊断之间的相关性，并对调查结果与临床诊断进行比较，以评估医生对抑郁症的识别情况。在本研究筛查的患者（1552例）中，12.8%被MINI诊断为患有抑郁症，其中重度抑郁症、由躯体疾病所致的抑郁症和恶劣心境的患病率分别为10.8%、1.4%和0.6%。与MINI相比，医生仅识别出27.6%的抑郁症患者。在所检查的症状中，情绪问题和睡眠问题均能预测被识别的可能性。
