CAJ | 학술논문

目的探讨综合性医疗机构中就诊患者躯体疾病与抑郁焦虑障碍共病的危险因素.方法采用多中心、横断面设计,调查四川省9所综合医院就诊躯体疾病与抑郁焦虑障碍共病患者2044例.采用一般状况调查表,躯体疾病相关情况调查表,医院焦虑抑郁量表(HADS)和患者健康状况调查表进行测查,阳性者进行汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)同时做国际神经精神科简式访谈问卷(MINI)诊断评估.结果 2044例综合医院就诊躯体疾病与抑郁焦虑障碍共病率为16.24％.抑郁家族史(P＜ 0.01,OR=83.481)、自理能力差(P＜0.01,OR=3.790)、目前健康状况差(P＜0.01,OR=5.283)、病情加重(P＜0.01,OR=2.840)、有抑郁病史(P=0.012, OR=4.758)、不良的婚姻状况(P=0.009,OR=1.805)、工资满意度差者(P＜0.001,OR=2.362)、有焦虑病史(P=0.013,OR=5.242)、合并2种以上疾病者(P=0.001,0R=2.051)工作劳累(P=0.0054, OR=3.136)是躯体疾病与抑郁障碍共病的危险因素.结论躯体疾病与抑郁焦虑共病是综合医院就诊者中,常见问题,家族抑郁史阳性、既往有抑郁焦虑病史、处理能力差、目前健康状况差、病情加重、不良婚姻状况、合并多种疾病、工资满意度差及工作劳累同综合医院就诊患者抑郁的发生相关,为易感因素.
목적 탐토종합성의료궤구중취진환자구체질병여억욱초필장애공병적위험인소.방법 채용다중심、횡단면설계,조사사천성9소종합의원취진구체질병여억욱초필장애공병환자2044례.채용일반상황조사표,구체질병상관정황조사표,의원초필억욱량표(HADS)화환자건강상황조사표진행측사,양성자진행한밀이돈초필량표(HAMA)화한밀이돈억욱량표(HAMD)동시주국제신경정신과간식방담문권(MINI)진단평고.결과 2044례종합의원취진구체질병여억욱초필장애공병솔위16.24％.억욱가족사(P＜ 0.01,OR=83.481)、자리능력차(P＜0.01,OR=3.790)、목전건강상황차(P＜0.01,OR=5.283)、병정가중(P＜0.01,OR=2.840)、유억욱병사(P=0.012, OR=4.758)、불량적혼인상황(P=0.009,OR=1.805)、공자만의도차자(P＜0.001,OR=2.362)、유초필병사(P=0.013,OR=5.242)、합병2충이상질병자(P=0.001,0R=2.051)공작로루(P=0.0054, OR=3.136)시구체질병여억욱장애공병적위험인소.결론 구체질병여억욱초필공병시종합의원취진자중,상견문제,가족억욱사양성、기왕유억욱초필병사、처리능력차、목전건강상황차、병정가중、불량혼인상황、합병다충질병、공자만의도차급공작로루동종합의원취진환자억욱적발생상관,위역감인소.
Objective To Investigate the influencing fators of somatoform disorder and combidity with depressive-anxiety disorders in general hospital patients.Methods A multi-center,hospital-based cross-sectional study was conducted.A total of 2044 subjects were screened by using general questionnaire,self-made investing scale related somatoform disorder,hospital anxiety and depression scale(HADS) and general health condition survey.Hamilton anxiety scale (HAMA),hamilton depression scale (HAMD),mini international neuropsychiatric interview (MINI) was used to evaluate by psychiatrists for the subjects who scored ≥ 9 on HADS.Results 16.24％ of all the patients with stamic have been diagnosed and confirmed with depression and anxiety.Possible causes for depression and anxiety included family depression history(P＜ 0.001,OR=83.481 ),past incidence of the disease (P =0.012,OR =4.758),weak ability in handling it (P ＜ 0.001,OR =3.790),bad health condition(P ＜ 0.0001,OR =5.283 ),aggravation of disease(P ＜ 0.001,OR =2.840),bad martial condition (P =0.009,OR =1.805 ),multiple intercurrent diseases (P =0.001,OR =2.051 ),and dissatisfaction of the salary(P ＜0.001,0R=2.362) and tiredness of working(P=0.0054,OR=3.136).Conclusion The risk factor of somatic patients with the depression and anxiety include family depression history,past incidence of the disease,weak ability in handling it,bad health condition,aggravation of disease,bad martial condition,multiple intercurrent diseases,and dissatisfaction of the salary and tiredness of working.