精神科和神经内科医生对抑郁症症状和治疗目标认识的调查  

A survey of psychiatrists and neurologists’ attitudes on the understanding of symptoms and treatment goals in patients with depression

作　　者：何燕玲[1] 杨倩 曾庆枝[1] HE Yan-ling;YANG Qian;ZENG Qing-zhi(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200025 [2]灵北(北京)医药信息咨询有限公司

出　　处：《临床精神医学杂志》2022年第6期479-482,共4页Journal of Clinical Psychiatry

摘　　要：目的:了解精神科和神经内科医生对抑郁症症状和治疗目标的认识。方法:采用分层采样,对全国637名精神科和神经内科医生在线调查。结果:医生认为情绪低落(76.1%)、自杀或自伤(51.5%)和睡眠问题(47.6%)对急性期抑郁症患者影响最大;认知症状(46.6%)、兴趣减退(45.5%)和疲乏(44.7%)对缓解期患者影响最大。56.7%的人选择“达到临床治愈”为急性期治疗目标。结论:医生对兴趣减退及认知症状重视程度低,对临床痊愈为治疗目标的认识不足。Objective:To explore the understanding of symptoms and treatment goals of depressive disorder in psychiatrists and neurologists in China.Method:There were 637 psychiatrists and neurologists completed an online survey.Sampling was stratified by city scale and physician type.Results:The participated physicians considered depressed mood(76.1%),thoughts of self-harm or suicide(51.5%),and sleeping problems(47.6%) as the most influential symptoms in the acute phase and cognitive symptoms(46.6%),loss of interest(45.5%) and fatigue(44.7%) as the most influential symptoms in the remission phase."Achievement of remission" were chosen as the acute phase treatment goal by 56.7% clinicians.Conclusion:The clinicians have less focus on loss of interest and cognitive symptom,clinical recovery as treatment goal is not eough recognized.

关 键 词：抑郁症 症状 治疗目标 

分 类 号：R749.4[医药卫生—神经病学与精神病学]