Prevalence, treatment, and control of depressive symptoms in the United States: results from the National Health and Nutrition Examination Survey (NHANES), 2005-2008.
Prevalence, treatment, and control of depressive symptoms in the United States: results from the National Health and Nutrition Examination Survey (NHANES), 2005-2008.
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DOI：
10.3122/jabfm.2011.01.100121
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发表时间：
2011-01
期刊：
影响因子：
--
通讯作者：
Rust G
中科院分区：
文献类型：
--
作者：
Shim RS;Baltrus P;Ye J;Rust G
抑郁症仍然是一个主要的公共卫生问题，通常在初级保健机构进行评估和治疗。本研究的目的是利用一种常见的初级保健抑郁症筛查工具，检查全国数据样本中抑郁症状的患病率、治疗和控制情况。我们分析了2005年至2008年全国健康与营养检查调查数据的成人样本（n = 4836）。使用患者健康问卷（PHQ-9）评估抑郁症状，以确定轻度、中度、中重度和重度抑郁症状的总体患病率、治疗率和抗抑郁药控制。样本中，20.1%报告有显著抑郁症状（PHQ-9评分，≥5），其中大多数为轻度抑郁症状（PHQ-9评分，5 -9）。即使在有严重抑郁症状的个人中，也有很大比例（36.9%）没有接受心理健康专业人员的治疗或服用抗抑郁药物。在服用抗抑郁药的患者中，26.4%的人报告有轻度抑郁症状，18.8%的人有中度、中度或重度抑郁症状。尽管初级保健机构对抑郁症的认识和治疗有所提高，但抑郁症状的患病率仍然很高，治疗水平仍然很低，对抑郁症状的控制也不够理想。初级保健提供者需要继续集中精力诊断和有效治疗这一重要疾病。
Depression remains a major public health problem that is most often evaluated and treated in primary care settings. The objective of this study was to examine the prevalence, treatment, and control of depressive symptoms in a national data sample using a common primary care screening tool for depression. We analyzed a sample of adults (n = 4836) from 2005 to 2008 National Health and Nutrition Examination Survey data. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9) to determine the overall prevalence, rates of treatment, and antidepressant control of mild, moderate, moderately severe, and severe depressive symptoms. Of the sample, 20.1% reported significant depressive symptoms (PHQ-9) score, ≥5), the majority of whom had mild depressive symptoms (PHQ-9) score, 5–9). Even among individuals with severe depressive symptoms, a large percentage (36.9%) received no treatment from a mental health professional or with antidepressant medication. Of those taking antidepressants, 26.4% reported mild depressive symptoms and 18.8% had moderate, moderately severe, or severe depressive symptoms. Despite greater awareness and treatment of depression in primary care settings, the prevalence of depressive symptoms remains high, treatment levels remain low, and control of depressive symptoms are suboptimal. Primary care providers need to continue to focus their efforts on diagnosing and effectively treating this important disease.
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