北京地区某三甲医院性病患者焦虑抑郁状况调查  

Occurrence of anxiety and/or depression in sexually transmitted disease patients from a general hospital in Beijing

作　　者：郭文英[1] 杨致远[2] 

机构地区：[1]首都经济贸易大学统计学院,北京100070 [2]北京大学医学部基础医学院,北京100191

出　　处：《中国艾滋病性病》2017年第11期1074-1077,共4页Chinese Journal of Aids & STD

摘　　要：目的调查北京地区某三甲医院性病患者的焦虑与抑郁状况及其在年龄和性别上的分布情况。方法记录性病患者的年龄和性别,并应用综合医院焦虑抑郁量表(HAD)进行抽样调查,对其结果的影响因素进行描述统计、非参数检验和Logistic回归进行分析。结果 425例性病患者焦虑/抑郁情绪阳性率分别为29.88%/35.29%,HAD-A/D累计评分均显著高于界限值[HAD-A:(5.68±4.02),P<0.001;HAD-D:(5.81±3.85),P<0.001];焦虑情绪在年龄和性别上的分布无差异;抑郁情绪在性别上分布差异有统计学意义(P=0.001)。男性较轻[比值比(OR)=0.62(0.40~0.96),P=0.034)],在年龄上分布差异有统计学意义(P=0.008),15~24岁者较轻,40~44岁者较重。结论性病患者的焦虑与抑郁情绪较普遍和严重,且在年龄和性别上呈一定分布规律,在临床诊疗过程中应适当关注。Objective To describe the occurrence of anxiety and depression among STD patients in Beijing and to illustrate its differences in prevalence between ages and genders. Methods Age and gender were recorded. Hospital anxiety and depression scale（HAD） was employed in the study. Descriptive statistics, non-parametric statistic and logistic regression were performed to analyze the impact factors. Result Among 425 patients, the occurrence rate of anxiety/depression was 29.88%/35. 29%, the total scores of both HAD-A and HAD-D were greatly significant above cut-off point（HAD-A： 5.68±4.02, P〈0.001; HAD-D： 5.81±3.85, P〈0.001）. No age or gender difference was found in the prevalence of anxiety. Age difference was found in the prevalence of depression（P=0.001）, which was less severe between 15 and 24 and more severe between 40 and 44; gender difference was also found in the prevalence of depression（P=0.008）, more severe in women compared to men（OR=0.62（0.40-0.96）, P=0.034）. Conclusion The frequent occurrence of anxiety and depression and its difference between ages and genders among STD patients require clinical intervention with specific target.

关 键 词：性传播疾病患者 焦虑 抑郁 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]