沈阳市综合医院焦虑障碍患病率及特征

目的了解沈阳市综合医院内科门诊焦虑障碍的患病率和焦虑患者的特征。方法采用分层随机整群抽样方法抽取沈阳市23家综合医院调查,共调查5750例内科门诊患者。使用扩展的一般健康问卷（GHQ-12）为筛查工具,对筛查高、中、低危险组按比例进行诊断工具《美国精神障碍诊断与统计手册》第四版科研版轴Ⅰ障碍定式临床检查（SCID-I/P）,以确定患病率。结果沈阳市综合医院内科门诊躯体疾病所致焦虑障碍患病率为0.468;任何焦虑障碍（非躯体疾病所致）现患率为4.92%,未特定焦虑障碍患病率最高（2.91%）,其次为广泛性焦虑障碍（1.51%）。焦虑障碍者的特征为分居/离婚、年龄≥45岁、受过高等教育、高收入者多。结论沈阳市综合医院内科门诊焦虑障碍患病率较高,多为分居/离婚、年龄≥45岁、受过高等教育、高收入者。

Prevalence of Anxiety Disorders and Features in General Hospitals in Shenyang

Objective To describe the prevalence of anxiety disorders and features in internal medical outpatients departments at general hospitals in Shenyang.Methods Stratified randomization cluster sampling was used to select 23 general hospitals for investigation,a total of 5750 outpatients had been investigated.Expanded version of General Health Questionnaire(GHQ-12) was taken as a screen instrument to identify subgroups of the sample at high,moderate and low risk,then their diagnosis was made by using structured clinical interview for DSM-IV Axis I Disorders-Patient Edition(SCID-I/P).Results The prevalence of anxiety disorders in internal medical outpatients departments at general hospitals in Shenyang was 4.68 %.The overall current rate of any anxiety disorders were 4.92%,the prevalence of non-specific anxiety disorders was the highest 2.91%,and that of generalized anxiety disorder was the next(1.51%).The patients with anxiety disorders were characterized by separation/divorce,45 years old and above in age,high educated background and high income.Conclusion The prevalence of anxiety disorders in internal outpatient departments at general hospitals in Shenyang is higher.The suffers are mostly those who are in separation or divorced,aged 45 or more,with high education background and high income.