Vaerøy H, Merskey H
Oppland Psychiatric Hospital, Reinsvoll, Norway.
Acta Psychiatr Scand. 1997 Apr;95(4):324-8. doi: 10.1111/j.1600-0447.1997.tb09639.x.
Existing studies suggest that depression is underdiagnosed and undertreated in general practice, and that the known prevalence of this mood disorder in a primary care population may represent only the "tip of the iceberg'. A total of 100 consecutive patients in an average Norwegian general practice were tested, of whom 31 patients were diagnosed as having a depressive illness in this study; 28 patients were diagnosed as having current major depression and three as having dysthymia. In total, 21 of the 28 patients with current major depression presented with other symptoms as their major complaints at the consultation in which they were tested. Twelve of these 21 patients had some kind of pain problem.
现有研究表明，在全科医疗中，抑郁症的诊断不足且治疗不足，而且在初级保健人群中，这种情绪障碍的已知患病率可能仅代表“冰山一角”。在挪威一家普通全科诊所连续对100名患者进行了测试，其中31名患者在本研究中被诊断患有抑郁症；28名患者被诊断患有当前的重度抑郁症，3名患有心境恶劣障碍。在28名当前患有重度抑郁症的患者中，共有21名患者在接受测试的咨询中以其他症状作为主要诉求。这21名患者中有12名存在某种疼痛问题。
