CAJ | 학술논문

目的调查上海市某社区卫生服务中心门诊患者抑郁障碍患病情况.方法采取综合性医院焦虑抑郁量表(HADS)对门诊847名就诊者进行筛查,对于HADS抑郁亚量表评分≥8分患者采用中文版《简明国际神经精神访谈》(M.I.N.I.)筛查后,根据美国精神障碍诊断和统计手册第4版(DSM-Ⅳ)标准进行抑郁障碍诊断.结果完成838人有效调查,295例(35.2％)患者HADS评分≥8分,16.1％(135/838)符合M.I.N.I.抑郁障碍诊断标准,其中重性抑郁发作检出率12.6％ (106/838)、心境恶劣检出率2.5％ (21/838)、双相抑郁检出率1.0％ (8/838).结论社区卫生服务中心就诊患者中抑郁症状和抑郁障碍检出率较高,应引起重视以加强识别和诊治.
목적 조사상해시모사구위생복무중심문진환자억욱장애환병정황.방법 채취종합성의원초필억욱량표(HADS)대문진847명취진자진행사사,대우HADS억욱아량표평분≥8분환자채용중문판《간명국제신경정신방담》(M.I.N.I.)사사후,근거미국정신장애진단화통계수책제4판(DSM-Ⅳ)표준진행억욱장애진단.결과 완성838인유효조사,295례(35.2％)환자HADS평분≥8분,16.1％(135/838)부합M.I.N.I.억욱장애진단표준,기중중성억욱발작검출솔12.6％ (106/838)、심경악렬검출솔2.5％ (21/838)、쌍상억욱검출솔1.0％ (8/838).결론 사구위생복무중심취진환자중억욱증상화억욱장애검출솔교고,응인기중시이가강식별화진치.
Objective To investigate the prevalence of depressive disorders in the outpatients of a community health service center in Shanghai.Methods Eight hundred and forty-seven outpatients were screened with the Hospital Anxiety and Depression Scale (HADS).Of the screened outpatients,the patients with depressive scale score of HADS ≥8 were assessed with the MINI international neuropsychiatric interview (M.I.N.I.) and made the diagnosis of depressive disorder according to the criteria of DSM-Ⅳ.Results Eight hundred and thirty-eight outpatients completed the effective investigation,and 295 (35.2％) outpatients had a HADS score ≥ 8.Of the enrolled 838 patients,16.1％ (135/838) met the criteria for depressive disorders with major depressive episode 12.6％ (106/838),dysthymia 2.5％ (21/838) and bipolar depression 1.0％ (8/838).Conclusion The prevalence rates of depressive symptoms and depressive disorders are high in the community health service center that deserved to be paid more attention for recognition,diagnosis and treatment.