抑郁症住院患者415例相关发生、发展因素10年回顾性分析  

Retrospective analysis of related factors of the occurrence and development of depression in the past 10 years

作　　者：何维林[1] 白淑敏[2] 孙晓敏[3] 

机构地区：[1]中国医科大学医务处,辽宁省沈阳市110001 [2]沈阳医学院预防医学系,辽宁省沈阳市110034 [3]中国医科大学心理卫生医院,辽宁省沈阳市110031

出　　处：《中国临床康复》2004年第6期1018-1019,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探索与抑郁症发生、发展相关联的因素,为抑郁症的预防、治疗、康复和进一步研究提供依据。方法:收集1992/2002中国医科大学心理卫生医院全部抑郁症病历,总计415份,将关联因素和数据如:性别、年龄、发病年龄、文化程度、性格、诱因和疗效等,输入计算机,用SAS软件进行统计分析。结果:男女性别比0.77:1,平均发病年龄(33.84±16.02)岁,男女平均发病年龄差异无显著性意义(u=0.41,P>0.05)。有无家族史患者平均发病年龄差异无显著性意义(u=1.49,P>0.05)。有家族史者抑郁症患病率与其他精神心理疾病间差异无显著性意义(χ2=0.09,P>0.05)。诱因中前3位是:难以适应社会发展、感情与家庭变故,并列第3位的是恋爱婚姻与学习任务过重。抑郁症患者性格内向者居多,达50%。文化程度以男性为高,男女差异有显著性意义(χ2=13.64,P<0.01)。职业前3位是:干部、工人、学生。抑郁症患者大多为青壮年。抑郁症治疗效果好,有效率98.0%。结论:抑郁症的发生和发展受多种关联因素的影响,特别是心理社会因素。应采取有针对性的预防和治疗、康复措施。AIM:To explore the related factors of the appearance and development of depression,and to provide a basis for the prevention,treatment,rehabilitation and further research of depression. METHODS:A total of 415 medical records of the inpatients with depression during 1992- 2002 were collected from the Mental Health Hospital of China Medical University.Related factors and data,such as sex,age,episode age, education level,character,incentive and therapeutic effect,were input to the computer,the SAS software was used for statistical analysis. RESULTS:The ratio of male to female was 0.77:1.The average of episode age was(33.84± 16.02) years old,the difference was not significant between male and female( u=0.41,P >0.05) ,so was between those with or without family history(u=1.49,P >0.05).The incidence of depression was not significantly different from other mental diseases in patients with family history(χ 2=0.09,P >0.05).The first three incentives were difficulty in adapting oneself to the social development,emotion trouble and family accidents,love marriage and overload of study task.Most of depression patients were introversion(50% ).Education level of males was significantly higher than females(χ 2=13.64,P< 0.01).The first three places for profession were cadre, worker and student.Most of depression patients were young and robust aged people.The therapeutic effect of depression was better,and the effective rate was 98% . CONCLUSION:The appearance and development of depression are influenced by multiple related factors,especially psychosocial factors.We should take positive treatment and recovery measures to prevent depression.

关 键 词：抑郁症 住院患者 发生因素 发展因素 性别 年龄 发病年龄 文化程度 

分 类 号：R749.4[医药卫生—神经病学与精神病学]