综合性医院冠心病病人抑郁/焦虑现况研究

目的：了解综合性医院冠心病患者抑郁和／或焦虑症状患病率及既往诊治情况。方法：采用现况研究方法，于2004年6月1日到12月1日在北京、上海、广州和成都的7家综合性医院的心内科连续收集确诊的冠心病患者359例。由经培训的调查员用统一的调查表进行面对面调查，同时使用综合医院焦虑抑郁量表（HAD）、Hamilton焦虑量表和Hamilton抑郁量表进行心理测评。结果：冠心病患者的抑郁症状、焦虑症状、抑郁合并焦虑症状以及合计的抑郁和／或焦虑症状患病率分别为19．8％，16．7％，13．6％和22．8％；在具有抑郁和／或焦虑症状的非首诊患者中，冠心病患者既往被诊断为抑郁和／或焦虑障碍和接受抗抑郁和／或焦虑治疗的比例均低于4％：住院患者在本次住院期间的抑郁焦虑诊治率低于1％。结论：综合医院冠心病病人具有较高的抑郁和／或焦虑症状和抑郁和／或焦虑障碍患病率．且既往诊治率较低。

A Cross-sectional Survey on the Prevalence of Depressive and/or Anxiety Disorder in Coronary Heart Disease Cases in General Hospitals

Objective: To describe the prevalence of depressive and/or anxiety symptom and disorder in patients with coronary heart disease(CHD) in the general hospitals.Methods: A hospital-based cross-sectional study was conducted in four main cities in China in 2004.359 eligible subjects with CHD were recruited from the outpatient or inpatient departments within six months.Face-to-face interviews were used in data collection together with the self-completed HAD scale for depressive and/or anxiety symptom screening.Subjects getting a HAD score of 9 and above were further assessed for depressive and/or anxiety disorders with HAMA scales and HAMD scales by the licensed psychologists or psychiatrists.Results: The prevalence of depressive symptoms,anxiety symptoms,depressive and anxiety symptoms,and total depressive and/or anxiety symptoms were 19.8%,16.7%,13.6% and 22.8% respectively in patients with CHD.Less than 4% of the subjects had been diagnosed or treated for the depressive or anxiety disorders prior to the investigation.In inpatients,the diagnosis and treatment rate was low to less than 1% during the current admission.Conclusion: It was noticeable to health care providers and health policy makers that there was high prevalence of depressive and/or anxiety symptoms and depressive and/or anxiety disorders,and low percentages of previous diagnosis and treatment in patients with CHD in general hospitals.