【摘要】 目的了解北京地区综合医院门诊患者抑郁障碍的患病率。方法随机抽取50家各级综合医院为调查现场,由精神科护士用自制抑郁筛选量表调查各科门诊患者2877例,由精神科医师对筛选阳性和10%的筛选阴性者以美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)为金标准做出诊断。结果(1)符合DSM-Ⅳ重性抑郁发作者为73例,现患病率为2.54%。其中内、外科患者的患病率(分别为3.03%和3.12%)高于其他科(1.58%)；而性别分布的差异无统计学意义。(2)抑郁障碍总的现患率、年患率和终生患病率分别为3.09%、3.65%和6.16%；其中,重性抑郁障碍分别为1.97%、2.53%和4.48%。(3)检出的73例重性抑郁发作患者中,仅10例(14%)因抑郁求助和接受医生提供的服务,并被正确识别。结论北京综合医院非心理科门诊患者抑郁障碍的现患率为3.09%；患者对抑郁问题而求助医生的比例低。更多还原

【Abstract】 Objective To describe the prevalence of depression among outpatients at general hospitals in Beijing.Methods Fifty general hospitals were randomly selected from 508 general hospitals in Beijing as research sites.A self-compiled depression screening instrument was administered to 2 877 outpatients in different general departments by psychiatric nurses,and the persons screened as positive and 10% of those screened negative were re-assessed by psychiatrists and the diagnoses of depressive disorder were made according the DSM-Ⅳcriteria.Results (1)Altogether 73 cases (2.54% of 2 877) met the diagnosis criteria for major depressive episode,with no difference between sexes.There were higher rates in patients visited in internal medicine (3.03%) and surgery (3.12%) than that in other all departments (1.58%).(2) The prevalence of depressive disorder was 3.09%,and one-year prevalence was 3.65%, lifetime prevalence was 6.16%,in which the prevalences of major depressive disorder were 1.97%, 2.53%,and 4.48%,respectively.(3) In the 73 cases with major depression episode,only 10 (14%) were recognized by their physicians.Conclusions The prevalence of depressive disorders is 3.09% among outpatients visited general hospitals in Beijing,and very few patients with depression are recognised and treated by general physicians.更多还原