EPIDEMIOLOGY OF DEPRESSION IN PRIMARY CARE
EPIDEMIOLOGY OF DEPRESSION IN PRIMARY CARE
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DOI：
10.1016/0163-8343(92)90094-q
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发表时间：
1992-07-01
影响因子：
7
通讯作者：
SCHULBERG, H
中科院分区：
文献类型：
--
作者：
KATON, W;SCHULBERG, H
最近发现，与大多数慢性内科疾病相比，重度抑郁障碍与高医疗利用率和更多的功能障碍有关。重度抑郁症是社区、非卧床医疗诊所和住院医疗护理中的常见病。研究估计，社区中2%-4%的人、5%-10%的初级保健患者和10%-14%的内科住院患者会发生严重的抑郁症。在每种情况下，有抑郁症状的人是没有达到严重抑郁标准的人的两到三倍。最近的研究发现，在三分之一到一半的重度抑郁症患者中，症状持续6个月到一年。大多数纵向研究已经确定，最初抑郁症状的严重程度和合并内科疾病的存在是抑郁持续的预测因素。
Major depressive disorder has been recently found to be associated with high medical utilization and more functional impairment than most chronic medical illnesses. Major depression is a common illness among persons in the community, in ambulatory medical clinics, and in inpatient medical care. Studies have estimated that major depression occurs in 2%-4% of persons in the community, in 5%-10% of primary care patients, and 10%-14% of medical inpatients. In each setting there are two to three times as many persons with depressive symptoms that fall short of major depression criteria. Recent studies have found that in one-third to one-half of patients with major depression, the symptoms persist over a 6-month to one-year period. The majority of longitudinal studies have determined that severity of initial depressive symptoms and the presence of a comorbid medical illness were predictors of persistence of depression.