综合医院内科与中医科门诊抑郁障碍患病率比较

目的调查沈阳市不同级别综合医院内科和中医科门诊病人抑郁障碍的患病率。方法采用分层随机整群抽样方法抽取沈阳市23家综合医院进行调查,共调查7448例年龄?15岁的内科和中医科门诊病人。调查员在门诊于病人就诊前使用扩展的一般健康问卷(GHQ-12)为筛查工具,将病人分为精神疾病高、中、低危险组,然后由精神科医生使用DSM-Ⅳ定式临床检查(SCID-I/P)对高、中、低危险组100%、40%、10%的调查对象进行SCID诊断。结果沈阳市综合医院内科门诊任何抑郁障碍的总现患率为11.01%(95%CI10.05%-12.06%),中医科抑郁障碍患病率为16.22%(95%CI13.23%-19.87%),高于内科门诊抑郁障碍患病率,RR值为0.68。结论沈阳市综合医院中医科门诊抑郁障碍患病率高于内科门诊,应该更加关注中医科就诊患者的抑郁障碍问题。

The Prevalence of Depression of Outpatients in the Departments of Internal and Chinese Traditional Medicine in General Hospitals

Objective:To describe the prevalence of depression of internal and Chinese traditional medicine outpatient departments in different levels of general hospitals in Shenyang.Methods:Stratified multi-stage cluster randomization was used to identify 23 general hospitals for investigation, a total 7448 outpatients above 15 years of age in internal and Chinese traditional medicine outpatient departments have been investigated.Investigator used expanded version of General Health Questionnaire (GHQ-12) as a screen instrument to identify subgroups of the sample at high, moderate and low risk, then psychiatrists determined their diagnosis by using structured clinical interview for DSM-IV Axis I Disorders-Patient Edition(SCID-I/P) for 100% of high-risk and 40% of moderate-risk and 10% of low-risk subjects.Results:At the internal department, the overall current rate of any depressive disorders was 11.01%(95%CI: 10.05%-12.06%), and at the Chinese tradition medicine department, the overall current rate of any depression was higher (16.22%, 95%CI: 13.23%-19.87%).Conclusion:The prevalence of depression of outpatients in the Chinese tradition medicine departments of general hospitals was higher than that of outpatients in the internal medicine department.We should pay attention to depressive disorder in Chinese tradition medicine department than internal medicine department.