PHQ-9、GAD-7量表对肿瘤患者抑郁及焦虑的诊断价值  

Application of PHQ-9 and GAD-7 Questionnaires in the Diagnosis of Depression and Anxiety in Malignant Tumor Patients

作　　者：孙沁怡[1] 邱晨红[1] 周华[1] 朱浩[1] 冯倩[1] 赵中[1] 

机构地区：[1]南京医科大学附属苏州医院神经内科,江苏苏州215001

出　　处：《医学临床研究》2015年第12期2397-2399,共3页Journal of Clinical Research

摘　　要：【目的】探讨PHQ-9、GAD-7量表评估本院住院肿瘤患者抑郁及焦虑的临床应用价值。【方法】选择2013～2014本院肿瘤科收治的符合入组标准的338例肿瘤患者，应用PHQ-9、GAD-7量表测试患者的抑郁、焦虑程度。【结果】所有观察对象抑郁症患病率46．2％，焦虑症患病率5．4％，患者PHQ-9、GAD-7评分具有显著正相关性。年龄，性别对患者PHQ-9、GAD-7评分无显著影响。肿瘤分期早期PHQ-9评分与中期比较无显著性差异（P〉0．05），晚期评分显著高于早期、中期，差异具有统计学意义（P〈0．05）。早期PHQ-9评分〉5分者与中期比较无显著性差异（P〉0．05），晚期评分〉5分者显著高于早期、中期，差异具有统计学意义（P〈0．05）。早期、中期、晚期组间GAD-7评分及其〉5分者所占比例比较均无显著性差异（均P〉0．05）。【结论】PHQ9、GAD-7评分量表可以有效地评估肿瘤患者的抑郁及焦虑程度。[Objective]To assess the clinical value of the PHQ -9, GAD-7 questionnaires in evaluating the degree of depression and anxiety of tumor patients in our hospital. [Methods]338 tumor patients who met all standards in the oncology department of our hospital from 2013 to 2014 were chosen. PHQ-9 and GAD-7 questionnaires were used to test the degree of depression and anxiety of the patients. [Results] In all observation objects, the prevalence of depression was 46.2% and the prevalence of anxiety was 5.4%. The patients＇ PHQ- 9 and GAD-7 scores had a significant positive correlation. Age and gender had no significant influence on the patients＂ PHQ - 9 and GAD - 7 scores. As influenced by tumor staging, there was no significant difference （ P 〉0.05） in the patients＂ PHQ - 9 scores between early-stage and middle-stage groups. The PHQ - 9 scores in the advanced-stage group were significantly higher than those in the early- and middle-stage groups, which showed a statistically significant difference （ P 〈0.05）. The number of patients （PHQ - 9 〉 5） in early-stage group showed no significant difference when compared to that in the middle-stage group （P 〉 0.05）. The number of patients （PHQ - 9〉 5） in the advanced-stage group was significantly more than that in the early- and middle-stage groups, and showed a statistically significant difference （ P 〈0.05）.There was no significant difference in patients of （GAD-7〉 5） among early-, middle-, and advanced-stage groups （ P 〉0.05）. [Conclusion]PHQ-9 and GAD-7 questionnaires can effectively evaluate the degree of depression and anxiety of the tumor patients.

关 键 词：肿瘤/心理学 抑郁/诊断 焦虑/诊断 精神病状态评定量表 

分 类 号：R73[医药卫生—肿瘤]