电子化精神卫生平台“心情温度计”应用于社区抑郁障碍诊治探索

目的 探讨电子化精神卫生服务平台“心情温度计”在社区抑郁障碍识别和诊治管理中的作用。方法 从虹口区两个社区卫生服务中心随机抽取全科门诊患者700例,通过心情温度计在线自主筛查和辅助诊断系统中的病人健康问卷抑郁自评量表(Patient Health Questionnaire-9,PHQ-9)和简明国际神经精神访谈(Mini-International Neuropsychiatric Interview, MINI)对样本进行抑郁障碍的初步诊断筛查,并在三个月后随访患者的后续线下诊治情况。结果 社区全科门诊患者抑郁症状检出率14.86%(104/700),抑郁障碍检出率为7.86% (55/700),比临床诊断率提升6.57%。抑郁障碍患者基线诊治率16.36%(9/55),3月后随访诊治率增加10.91%(6/55),诊治率提升至27.27%。结论 电子化精神卫生平台在社区筛查和诊断评估不仅能提升社区对抑郁障碍的识别率,而且对后续实际临床诊治率也有良性推动作用。今后宜将电子化精神卫生评估整合到初级保健服务中,促进抑郁障碍的早期诊断和有效治疗。

Application of e-mental health service platform "Mood Thermometer" to diagnosis and treatment of depression disorder in community

Objective To explore the role of the e-mental health service platform "mood thermometer" in the recognition, diagnosis and treatment of depression disorders of community. Methods Mood thermometer application is an online autonomous screening and auxiliary diagnosis system. A total of 700 outpatients from two community health service centers in Hongkou District were evaluated with the self-designed questionnaire, Patient Health Questionnaires (PHQ) and the MINI-International Neuropsychiatric Interview (MINI) which had been set in the APP for detection of depression disorder. Subsequent offline diagnosis and treatment of the patients were followed up three months later. Results The recognition rate of depressive symptoms was 14.86% (104/700), and the detection rate of depressive disorder was 7.86% (55/700), which was 6.57% higher than the clinical diagnosis rate. The treatment rate of patients with depression disorder increased from 16.36% (9/55) at baseline to 10.91% (6/55) at follow-up 3 months later, and the diagnosis and treatment rate increased to 27.27%. Conclusions The e-mental health platform in the community screening and diagnosis evaluation can not only greatly improve the community detection rate of depression disorder, but also have a positive effect on the subsequent actual clinical diagnosis and treatment rate. E-mental health assessment should be integrated into primary health care services in the future to promote early diagnosis and effective treatment of depression disorder.