综合医院焦虑抑郁量表在内科门诊病人中的应用  

Application of the Hospital Anxiety and Depression Scale(HAD) among medical outpatients

作　　者：范青[1] 季建林[2] 肖泽萍[1] 沙亮 史以珏[3] 梅力[1] 沈翔慧[3] 林国珍[3] 

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030 [2]复旦大学附属中山医院医学心理科,上海200032 [3]上海交通大学医学院附属瑞金医院心理科,上海200025

出　　处：《中国心理卫生杂志》2010年第5期325-328,共4页Chinese Mental Health Journal

基　　金：上海市医院新兴技术项目(SHDC12006105);国家高技术研究发展计划(863计划)(2007AA02Z420);上海市科委2007年度"创新行动计划"项目(074119520);上海市优秀学科带头人计划项目(08XD14036)

摘　　要：目的:在综合医院内科门诊病人中应用综合医院焦虑抑郁量表(Hospital Anxiety and Depres-sion Scale,HAD),并尝试建立上海地区常模。方法:采用两阶段抽样方法,首先在上海10余家综合医院中选取中山医院和瑞金医院内科门诊就诊人群,其次按10∶1比例在连续就诊序列中随机抽取11766例患者,采用HAD自评或辅助询问评估。结果:(1)内科门诊各年龄组病人在HAD焦虑均分(F=12.518,P<0.001)和抑郁均分(F=28.066,P<0.001)上差异显著,即随年龄递增焦虑评分有所降低,而抑郁评分则有所增高。(2)女性的HAD焦虑评分高于男性[(3.37±2.81)vs.(3.14±2.62),P<0.001],HAD抑郁评分在总样本中差异无统计学意义;但在60岁以下样本中,女性抑郁评分高于男性[(3.67±3.01)vs.(3.39±2.91),P=0.038],而在60～69岁年龄段,男性抑郁总均分高于女性[(5.63±3.86)vs.(4.86±3.70),P<0.001]。结论:综合医院焦虑抑郁量表在内科门诊病人应用过程中需注意年龄和性别因素的影响。Objective： To apply the Hospital Anxiety and Depression Scale （HAD） among medical outpatients in general hospitals and try to develop the norms of HAD in Shanghai. Methods： Two-stage sampling method was used. Firstly, Zhongshan Hospital and Ruijin Hospital were chosen among general hospitals in Shanghai. Secondly, 11766 medical outpatients were randomly selected at the ratio of 10：1 in order to be assessed with the Hospital Anxiety and Depression Scale. Results： （ 1 ） The anxiety scores （ F = 12. 518, P 〈 0. 001 ） and the depression scores （ F = 28. 066, P 〈 0. 001 ） of the HAD were significantly different among different age groups of medical outpatients. （2 ） The anxiety scores in females were higher than that in males [ （ 3.37 ± 2. 81 ） vs. （ 3. 14 ± 2. 62）, P 〈0. 001 ] and no gender differences were found in the depression scores. However, the depression scores in females younger than 60 years were higher than that in males [ （3.67 ±3.01 ） vs. （3.39 ±2. 91 ） , P =0. 038] and the depression scores in males older than 60 years and younger than 70 years were higher than that in females [ （ 5.63 ± 3.86 ） vs. （ 4. 86 ± 3. 70 ） , P 〈 0. 001 ] . Conclusion： The norms of the Hospital Anxiety and Depression Scale （ HAD） in Shanghai have been established in this study. The effects of age and gender factors should be paid attention in the application of the HAD among medical outpatients.

关 键 词：综合医院焦虑抑郁量表 内科门诊病人 常模 横断面研究 

分 类 号：R749.72[医药卫生—神经病学与精神病学]