520例妇科门诊就诊者的情绪障碍患病调查分析

目的：调查北京三家医院妇科门诊520例就诊者的抑郁症及焦虑症的患病率,并研究分析影响患病率的相关因素。方法：在北京大学第一医院、北京大学人民医院、北京协和医院的妇科门诊共计纳入520例就诊患者,以医院焦虑抑郁量表（HADS）进行初步评估,HADS评分≥8者接受精神科医生访谈,由精神科医生按DSM-IV标准进行评定以确诊抑郁症/和焦虑症;对就诊者的症状、诊断、就诊次数、误工天数做相关性分析。结果：329例（63.3%）HADS评分≥8,其中263例（50.6%）接受了精神科医生访谈,并有61例（11.7%）诊断为抑郁症或/和焦虑症;66例拒绝访谈。在考虑到拒绝访谈的人群中抑郁症或/和焦虑症的患病率,根据参加访谈人群的患病率推算出抑郁症患病率为11.35%,焦虑症患病率为5.58%,抑郁症或/和焦虑症的总患病率为14.62%。相关性分析显示：头疼/头昏、月经紊乱症状与抑郁症/和焦虑症的诊断有相关关系,就诊次数越多、误工天数越长的就诊者,抑郁症/焦虑症的发生率也越高。结论：妇科门诊抑郁症/或焦虑症总的患病率为14.62%;其患病率和头疼/头昏、月经紊乱症状相关,也和就诊次数、误工天数有关。

Mood Disorders Investigation and Analysis of 520 Cases in Gynecology Outpatients

Objective：To investigate prevalence of depression/anxiety of 520 gynecologic outpatients in Peking 3 hospitals.And to research and analysis the relevant factors affect prealence.Methods：520 outpatients were included in 3 gynecology centers in Peking（Peking University First Hospital,Peking University People′s Hospital,Peking Union Hospital） in the appointed day.These patients were assessed with the Hospital Anxiety and Depression Scale（HADS）.If HADS scores≥ 8,the patient would be interviewed by psychiatrist.Psychiatrist should make diagnosis of depression and anxiety with DSM-IV standard.Results：329（63.3%）cases had HADS score equal or more than 8.263（50.6%）cases received the psychiatrist interview and 61（11.7%） cases were diagnosis depression and anxiety.66 cases refused interview.Considered the similar prevalence in the interview and interview refused population with the similar HADS,the prevalence of depression and anxiety were calculated.Prevalence of depression,anxiety,depression and/or anxiety was 11.35%,5.58%,14.62% respectively.Correlation analysis showed that： headache/dizziness,menstrual disorder have correlations with diagnosis of depression and/ anxiety.And the more times of Seeing the doctor,the more delays of work,the more prevalences of depression/anxiety prevalence.Conclusions：The prevalence of depression and anxiety is 14.26% in gynecological clinic with.Its prevalence is concerned with headache/dizziness,menstrual and times of Seeing the doctor,days of delays.