综合医院内科门诊患者焦虑障碍的患病状况调查

目的 调查综合性医院内科门诊患者焦虑障碍的患病状况以及了解内科医生对焦虑障碍的诊断和治疗情况.方法 按10∶1随机抽取2007年11月至2008年1月间于上海瑞金医院4个内科门诊的就诊者,使用综合性医院焦虑/抑郁情绪测定表(HAD)作为筛查工具,对焦虑分值≥8分的患者进行M.I.N.I.检查并作出诊断,再根据患者的门诊卡了解内科医生关于焦虑障碍的诊断和治疗.结果 所有焦虑障碍的患病率为2.51%,广泛性焦虑最多为1.47%;女性、丧偶者焦虑障碍的患病比例较高(P＜0.01);23%的焦虑障碍患者得到相应的治疗,但内科医生的诊断率只有3.2%.结论 上海综合性医院内科门诊中焦虑障碍的患病率较高,女性及丧偶者易患,而内科医生对其的识别率较低.

Survey on the prevalence of anxiety disorders in internal medical outpatients at general hospital

Objective To investigate the prevalence of anxiety disorder in internal medical outpatients at general hospital,explore some susceptible factors of anxiety disorder patients and assess the outpatients from cardiac medicine,digestive medicine,endocrinology and hypertension at Shanghai Ruijin Hospital were selected during November 2007 to January 2008.Hospital anxiety and depression scale (HADS) was used to screen the subjects.Those whose anxiety sub-score was higher or equal to 8 were interviewed with M.I.N.I.investigators further.The information of the physician diagnosis and treatment was collected from the history cards.Results The prevalence of anxiety disorders was 2.51%,panic attack 0.9%,agoraphobe 0.47%,social phobia 0.25%,specific phobia 0.31%,obsessive-compulsive disorder 0.28% and general anxiety disorder 1.47%.Women and widows were more susceptible to anxiety disorders ( P ＜0.01 ).And 23% of anxiety disorder patients received treatment.But the physician diagnosis rate of anxiety disorders was only 3.2%.Conclusion The prevalence of anxiety disorders in internal medical outpatients at general hospital is still high and general anxiety disorders are commonly encountered.Women and widows are more susceptible to anxiety disorders than others.The physician diagnosis rate of anxiety disorders remains low.