【摘要】 目的:了解北京市综合医院神经科门诊就诊者中抑郁/焦虑障碍的患病情况和门诊诊治现状。方法:采用现况调查的方法调查3所综合医院神经科门诊就诊者529名。所有纳入者进行医院焦虑抑郁量表筛查,对≥8分者用《简明国际神经精神访谈》作出诊断。结果:矫正后抑郁障碍检出率20.2%,焦虑障碍9.1%,至少符合抑郁或焦虑障碍一项者21.5%。门诊医生对符合抑郁或焦虑患者中的19.8%进行转诊,15.1%给予精神科药物。患者的就诊意愿依次为:药物治疗、心理咨询和精神科就诊。结论:北京市综合医院神经内科门诊患者中具有较高的抑郁/焦虑障碍发生率,门诊医生的诊断和治疗率不高,值得相关部门关注。更多还原

【Abstract】 Objective:To describe the occurrence of depressive and/or anxiety disorders in neurological outpatients in general hospitals in Beijing.Methods:A hospital-based cross-sectional study was conducted in 3 general hospitals in Beijing.A total of 529 outpatients were recruited within one month.All of the subjects completed the self-rated Hospital Anxiety and Depression(HAD)scale for screening.The patients whose HAD scores were 8 and above were interviewed by psychiatrists.Psychiatric diagnoses were made according to the DSM-IV criteria by using the Mini International Neuropsychiatric Interview(MINI).Results:The adjusted occurrence rate of depressive disorder was 20.2%,and that of anxiety disorder was 9.1%.The adjusted occurrence rate of depressive or anxiety disorder was 21.5%.Only 19.8% of these patients were recommended to go to see a psychiatrist,and 15.1% were prescribed psychiatric medicine.These patients had more trouble in living,working and sociality.The treatments that patients prefer were medicine,psychotherapy and psychiatry.Conclusion:It is noticeable that high occurrence rate of depressive and/or anxiety disorders have been found in neurological outpatients from general hospitals in Beijing,with the low percentage of treatment.更多还原