综合医院焦虑抑郁量表在内科门诊病人中的应用(2)
鉴于本研究发现HAD评分存在性别与年龄等方面的差异,作者认为,简单地以HAD因子>7分来区分不同年龄与性别的病人是否有焦虑或抑郁症状可能并不准确,应该有所调整。即在<60岁的门诊、女性病人中,抑郁和焦虑评分的区分值应高于男性;随年龄递增,HAD焦虑评分的区分值应有所下降。只有这样,才能减少和避免HAD在筛查过程后的假阳性率和假阴性率。
本研究通过对上海地区综合性医院11766例内科门诊就诊人群的采样,根据年龄和性别的分布情况,建立了上海地区常模。该量表为在上海地区综合性医院应用的开展提供了必要参考工具,今后可在此基础上进一步制定全国常模。
致谢:本调查得到上海市精神卫生中心、中山医院和瑞金医院门诊部等多位同行的协助与支持!
参考文献
[1]Zigmond AS,Snaith RP.The hospital anxiety and depression scale [J].Acta Psychiatr Scand,1983,67(6):361-370.
[2]叶维菲,徐俊冕.综合性医院焦虑抑郁量表在综合性医院病人中的应用和评价 [J].中国行为医学杂志,1993,2(3):17-19.
[3]郑磊磊,王也玲,李惠春.医院焦虑抑郁量表在综合性医院中的应用 [J].上海精神医学,2003,15(5):264-266.
[4]Olssn I,Mykletun A,Dahl AA.The hospital anxiety and depression rating scale:a cross-sectional study of psychometrics and case finding abilities in general practice [J].BMC Psychiatry,2005,5:46.
[5]Kessler RC,Amminger P,Aguilar-Gaxiola S,et al.Age of onset of mental disorders:A review of recent literature [J].Curr Opin Psychiatry,2007,20:359-364.
[6]朱紫青,季建林,肖世富.抑郁障碍诊疗关键 [M].南京:江苏科学技术出版社,2003:3.
[7]Jorm AF.Does old age reduce the risk of anxiety and depression? A review of epidemiological studies across the adult life span [J].Psychol Med,2000,30:11-22.
[8]van' t Veer-Tazelaar PJ,van Marwijk HW,Jansen AP,et al.Depression in old age(75+),the PIKO study [J].J Affect Disord,2008,106:295-299.
[9]Michael T,Zetsche U,Margraf J.Epidemiology of anxiety disorders [J].Psychiatry,2007,6:136-142.
[10]Marcus S,Young E,Kerber K,et al.Gender differences in depression:Findings from the STAR*D study [J].J Affect Disord,2005,87:141-150.
[11]Afifi M.Gender differences in mental health [J].Singapore Med J,2007,48:385-391.
[12]Piccinelli M,Wilkinson G.Gender differences in depression [J].Br J Psychiatry,2000,117,486-492.
[13]Morsink LFJ,Vogelzangs N,Nicklas BJ.Associations between sex steroid hormone levels and depressive symptoms in elderly men and women:results from the health ABC study [J].Psychoneuroendocrinology,2007,32:874-883.
编辑:赵志宇
2009-10-19收稿,2010-01-07录用, 百拇医药(范 青 季建林 肖泽萍 沙 亮 史以珏 梅 力 沈翔慧 林国珍)
本研究通过对上海地区综合性医院11766例内科门诊就诊人群的采样,根据年龄和性别的分布情况,建立了上海地区常模。该量表为在上海地区综合性医院应用的开展提供了必要参考工具,今后可在此基础上进一步制定全国常模。
致谢:本调查得到上海市精神卫生中心、中山医院和瑞金医院门诊部等多位同行的协助与支持!
参考文献
[1]Zigmond AS,Snaith RP.The hospital anxiety and depression scale [J].Acta Psychiatr Scand,1983,67(6):361-370.
[2]叶维菲,徐俊冕.综合性医院焦虑抑郁量表在综合性医院病人中的应用和评价 [J].中国行为医学杂志,1993,2(3):17-19.
[3]郑磊磊,王也玲,李惠春.医院焦虑抑郁量表在综合性医院中的应用 [J].上海精神医学,2003,15(5):264-266.
[4]Olssn I,Mykletun A,Dahl AA.The hospital anxiety and depression rating scale:a cross-sectional study of psychometrics and case finding abilities in general practice [J].BMC Psychiatry,2005,5:46.
[5]Kessler RC,Amminger P,Aguilar-Gaxiola S,et al.Age of onset of mental disorders:A review of recent literature [J].Curr Opin Psychiatry,2007,20:359-364.
[6]朱紫青,季建林,肖世富.抑郁障碍诊疗关键 [M].南京:江苏科学技术出版社,2003:3.
[7]Jorm AF.Does old age reduce the risk of anxiety and depression? A review of epidemiological studies across the adult life span [J].Psychol Med,2000,30:11-22.
[8]van' t Veer-Tazelaar PJ,van Marwijk HW,Jansen AP,et al.Depression in old age(75+),the PIKO study [J].J Affect Disord,2008,106:295-299.
[9]Michael T,Zetsche U,Margraf J.Epidemiology of anxiety disorders [J].Psychiatry,2007,6:136-142.
[10]Marcus S,Young E,Kerber K,et al.Gender differences in depression:Findings from the STAR*D study [J].J Affect Disord,2005,87:141-150.
[11]Afifi M.Gender differences in mental health [J].Singapore Med J,2007,48:385-391.
[12]Piccinelli M,Wilkinson G.Gender differences in depression [J].Br J Psychiatry,2000,117,486-492.
[13]Morsink LFJ,Vogelzangs N,Nicklas BJ.Associations between sex steroid hormone levels and depressive symptoms in elderly men and women:results from the health ABC study [J].Psychoneuroendocrinology,2007,32:874-883.
编辑:赵志宇
2009-10-19收稿,2010-01-07录用, 百拇医药(范 青 季建林 肖泽萍 沙 亮 史以珏 梅 力 沈翔慧 林国珍)