北京40家综合医院住院病人抑郁障碍患病率调查  

Prevalence of Depressive Disorder among Inpatients in 40 General Hospitals in Beijing

作　　者：王志青[1] 张艳萍[1] 杨少杰[1] 孟梅[1] 王向群[2] 费立鹏[1] 

机构地区：[1]北京回龙观医院北京心理危机研究与干预中心,北京100096 [2]北京大学精神卫生研究所

出　　处：《中国心理卫生杂志》2006年第3期176-179,共4页Chinese Mental Health Journal

基　　金：北京市科委课题基金资助项目(H010910130112);首都医科大学附属北京安定医院承担的"精神障碍的综合干预"项目中的一个子课题

摘　　要：目的：了解北京综合医院住院病人抑郁障碍的患病率及其求治情况。方法：在北京地区分层随机抽40家综合医院。共调查2925例年龄≥15岁的住院病人。精神科护士使用自制抑郁筛选量表后，精神科医生根据DSM-IV标准对筛选阳性和10％筛选阴性者做出金标准诊断。结果：经调整后任何抑郁障碍总的现患率、年患率和终身患病率分别为7．04％、7．47％和9．96％；其中，重性抑郁障碍分别为3．83％、4．33％和6．11％。在123例现患重性抑郁发作者中，仅有12例（9．8％）曾因此问题接受过诊治。重性抑郁发作现患率在女性显著高于男性（5．18％比3．59％，RR=1．44，95％CI：1．01—2．05），在二级医院高于三级医院（6．28％比3．31％，RR=1．90，95％CI：1．31～2．75），在内科高于外科（6．08％比3．60％，RR=1．69，95％CI：1．15—2．49）和其它科（6．08％比3．01％，RR=2．02，95％CI：1．21-3．37）。结论：北京综合医院住院病人抑郁障碍患病率高，但其接受诊治的比例很低。应尽快制定相应措施以提高综合医院病人抑郁障碍的诊治率并定期对其效果进行监督。Objective： Describe the prevalence of depressive disorder and the care-seeking of depressed individuals among inpatients in general hospitals in Beijing. Methods： 2 925 inpatients ≥15 years of age from 40 generalhospitals （ selected by stratified random sampling） were first screened by psychiatric nurses and then psychiatrists used DSM-IV criteria to generate a ‘gold standard＇diagnosis in subjects screened positive and 10% of those screened negative. Results： Adjusted point prevalence, one-year prevalence, and lifetime prevalence of any type of depressive disorder were 7.04%, 7.47% and 9. 96%, respectively; corresponding prevalences of Major Depressive Disorder were3.83%, 4. 33%, and 6. 11%, respectively. Of the 123 depressed patients only 12 （9. 8% ） had ever received treatment. The prevalence was significantly higher in females than in males （5. 18% vs 3.59% , RR=1.44 95% CI：1.01 -2. 05）, in patients from Level-2 hospitals than in those from Level-3 hospitals （6. 28%vs 3.31%, RR = 1.9095 % CI： 1.31 -2. 75）, and in patients on internal medicine wards than in those from surgery （6. 08% vs3.60%, RR=1.69 95% CI： 1.15 - 2. 49） or other wards （6.08% vs 3.01%, RR = 2. 02 95% CI： 1.21 - 3.37）. Conclusions： The prevalence of depressive disorder among inpatients in Beijing＇s general hospitals is high but veryfew are diagnosed or treated. Different programs to increase the recognition and treatment of depression in general hospitals need to be developed and regularly monitored.

关 键 词：抑郁障碍 横断面调查 综合医院 住院病人 患病率 诊治率 

分 类 号：R749.2[医药卫生—神经病学与精神病学]