有医学无法解释症状的患者抑郁障碍的现况调查-现代医学

有医学无法解释症状的患者抑郁障碍的现况调查

单位：东南大学附属中大医院

分类号：

出版年·卷·期（页码）：2015·43·第四期（453-455）

摘要：

目的：调查赣榆区人民医院神经内科门诊就诊的医学无法解释的症状（Medically Unexplained Symptoms，MUS）患者中抑郁的发生情况。方法：对251名MUS患者进行患者健康问卷（patient health questionnaire-9，PHQ-9）评定，得分≥5分被认为存在抑郁症状，由精神科医师应用简明国际神经精神访谈(Mini International Neuropsychiatric Interview，MINI)对其进行访谈并诊断是否存在抑郁障碍。结果：52.98%的MUS患者存在抑郁症状，其中男性发生率41.57%、女性59.25%，性别间的发病率差异有统计学意义；29.48%的MUS患者可以被诊断为抑郁障碍，其中男性24.72%、女性32.10%，性别间的发病率差异有统计学意义；以不同症状为主诉的MUS患者的抑郁障碍发生率间的差异无统计学意义。结论：神经内科就诊的MUS患者中抑郁障碍十分常见，且女性的发生率高于男性。

Objective: We investigated the occurrence of depressive disorders in MUS outpatients, coming from neurological department of Ganyu Hospital. Methods: 251 MUS outpatients was evaluated using the patient health questionnaire-9 (PHQ-9), who got a score of more than 5 was considered having depressive symptoms. A psychiatrist interviewed with these patients using the Mini International Neuropsychiatric Interview (MINI), and depressive disorders were diagnosed if they met the DSM-IV criterions. Results: 52.98% MUS outpatients had depressive symptoms, the occurrence of depressive symptoms is 41.57% in male MUS patients, and 59.25% in female, and the differences of occurrences between genders is significant. 29.48% MUS outpatients met the DSM-IV criterions of depressive disorders. The occurrence of depressive disorders is 24.72% in male MUS patients and 32.10% in female, and the occurrences between genders is significant. The occurrences of depressive disorders between different somatic symptoms in MUS outpatients have no significant differences. Conclusion: depressive disorders is common in MUS outpatients from Neurological Department of General Hospital, and it is much more common in female than male.

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