【摘要】 目的:探讨广州地区综合医院门诊就诊者的焦虑、抑郁症状及与躯体症状的关系。方法:通过随机抽样从广州市卫生局抽取广州15家综合医院,采用医院焦虑抑郁量表(HADS)和病人健康问卷(PHQ-15)对1842例综合医院普通门诊就诊者进行量表评定。结果:1842例门诊病人中,焦虑、抑郁及焦虑、抑郁合并现患率分别为14.0%、10.2%、17.8%;躯体症状与焦虑、抑郁的相关分析显示,PHQ-15总分、PHQ-15阳性症状数目与HADS总分、HAD-A因子分及HAD-D因子分呈显著正相关;以躯体症状轻微(PHQ-15,0-4分)组作为参考值,计算不同程度躯体症状患者焦虑、抑郁患病相对危险度,结果显示,轻度(PHQ-15,5-9分)、中度(PHQ-15,10-14分)、重度(PHQ-15,15-30分)躯体症状患者焦虑患病的相对危险度RR(95%CI)分别为2.90(1.94-4.33)、8.32(5.40-12.81)、23.05(12.72-41.77);抑郁患病的相对危险度RR(95%CI)分别为2.37(1.52-3.68)、6.98(4.38-11.13)、9.86(5.18-18.77);焦虑、抑郁合并患病的相对危险度RR(95%CI)分别为2.80(1.98-3.96)、8.11(5.53-11.89)、18.12(10.26-32..03)。结论:综合医院门诊就诊者焦虑、抑郁常见;躯体症状与焦虑、抑郁密切相关,躯体症状程度越重,躯体症状数目越多,焦虑、抑郁越明显,焦虑、抑郁患病相对危险度越高。更多还原

【Abstract】 Objective:To investigate the prevalence of anxiety and depressive symptoms and to analyse the relationship between anxiety,depression and somatic symptoms in outpatients in general hospitals.Methods:By way of a cross- sectional survey,1842 outpatients from 15 general hospitals in Guangzhou,China,were tested with Hospital Anxiety and Depression Scale(HADS)and Patient Health Questionnaire(PHQ-15).Results:The prevalence rates of anxiety and/or depressive symptoms were 14.0%,17.8%,10.2%respectively in outpatients in Guangzhou.Significant correction was observed between HADS and PHQ-15 scores(r 0.374-0.481,P<0.01).Compared with patients with minimal somatic symptom severity(PHQ-15 scores=0-4),the Relative Risk(RR)(95%CI)for anxiety and/or depression in patients with low PHQ-15 scores(5-9)were 2.90(1.94-4.33),2.80(1.98-3.96),2.37(1.52-3.68)respectively;in patients with medium PHQ- 15 scores(10-14)were 8.32(5.40-12.81),8.11(5.53-11.89),6.98(4.38-11.13)respectively;in patients with high PHQ-15 scores(15-30)were 23.05(12.72-41.77),18.12(10.26-32.03),9.86(5.18-18.77)respectively.Conclusion:There is high prevalence of anxiety and/or depression in outpatients in general hospitals.Also significant correlation was observed between anxiety,depression and somatic symptoms.更多还原