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北京部分综合医院门诊就诊者焦虑障碍的现况调查

李家磊 姜荣环 马弘 于欣 党卫民 白文佩 刘梅颜 魏镜 何燕玲

中国全科医学2013,Vol.16Issue(10):1173-1175,3.
中国全科医学2013,Vol.16Issue(10):1173-1175,3.DOI:10.3969/j.issn.1007-9572.2013.04.029

北京部分综合医院门诊就诊者焦虑障碍的现况调查

Prevalence of Anxiety Disorders in Outpatient Departments of General Hospitals in Beijing

李家磊 1姜荣环 2马弘 2于欣 2党卫民 2白文佩 3刘梅颜 4魏镜 5何燕玲6

作者信息

  • 1. 650224,云南省昆明市,云南省精神病院
  • 2. 北京大学精神卫生研究所,卫生部精神卫生学重点实验室
  • 3. 北京大学第一医院
  • 4. 北京大学人民医院
  • 5. 北京协和医院
  • 6. 上海市精神卫生中心
  • 折叠

摘要

Abstract

Objective To explore the prevalence of anxiety disorders in outpatient departments of a part of general hospitals in Beijing. Methods A hospital - based cross - sectional study was conducted. The subjects were recruited from the three Third - Level Grade - A hospitals, who visited the cardiology, gastroenterology, neurology and gynecology outpatient departments, and who aged 18 or over, were conscious and with informed consent, and can finish the questionnaire independently. They finished the general questionnaire and Hospital Anxiety and Depression Scale ( HADS ) . The subjects with HADS score of 8 or over were surveyed and diagnosed with Mini International Neuropsychiatric Interview ( MINI ) by psychiatrists. All the subjects, who refused to receive diagnostic examination by psychiatrists, were treated as the case of loss of follow - up. Results A total 2 074 subjects were included in the survey. The adjusted prevalence rate of MINI - diagnosed anxiety disorder was 7. 6% ( 157/2 074 ), and there was no significant difference between male and female [ 6. 5% ( 43/661 ) vs 8. 1% ( 114/1 399 ) ] ( P > 0. 05 ) . Among them the prevalence of general anxiety disorder, agoraphobia, specific phobia, panic phobia, social phobia and compulsive - obsessive disorder was 2. 8% ( 59/2 074 ), 1. 7% ( 35/2 074 ), 1. 4% ( 29/2 074 ), 1. 1% ( 23/2 074 ),1. 1% ( 23/2 074 ), 0. 6% ( 12/2 074 ), 0. 6% ( 12/2 074 ), respectively. And 87. 3% ( 137/157 ) suffered from only one kind of anxiety disorders. The adjusted prevalence rate of lifetime anxiety disorder was 8. 7% ( 180/2 074 ), and there was no gender difference [ 7. 6% ( 50/661 ) for male and 9. 3% ( 130/1 399 ) for female ] ( P >0. 05 ) .The adjusted prevalence of lifetime general anxiety disorder, agoraphobia, specific phobia, panic phobia, social phobia and compulsive -obsessive disorder was 2. 8% ( 59/2 074 ), 2. 2% ( 45/2 074 ), 2. 1% ( 43/2 074 ), 1. 4% ( 29/2 074 ), 1. 1% ( 23/2 074 ), 0. 6% ( 12/2 074 ), 0. 6% ( 12/2 074 ), respectively. And 84. 4% ( 152/180 ) suffered from only one kind of anxiety disorders. Conclusion Anxiety disorder is one kind of common problems in Third - Level hospitals of Beijing and there is no significant difference between male and female. The general anxiety disorder is the most common and most patients only suffered from one kind of anxiety disorders.

关键词

焦虑障碍/患病率/综合医院/门诊/横断面调查

Key words

Anxiety disorder/ Prevalence/ General hospitals/ Outpatient/ Cross - sectional investigation

分类

医药卫生

引用本文复制引用

李家磊,姜荣环,马弘,于欣,党卫民,白文佩,刘梅颜,魏镜,何燕玲..北京部分综合医院门诊就诊者焦虑障碍的现况调查[J].中国全科医学,2013,16(10):1173-1175,3.

基金项目

首都医学发展科研基金(2009-2027) (2009-2027)

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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