Factors affecting the presence of depression, anxiety disorders, and suicidal ideation in patients attending primary health care service in Lithuania.
Factors affecting the presence of depression, anxiety disorders, and suicidal ideation in patients attending primary health care service in Lithuania.
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DOI：
10.3109/02813432.2013.873604
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发表时间：
2014-03
影响因子：
2.1
通讯作者：
Mickuviene N
中科院分区：
文献类型：
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作者：
Bunevicius R;Liaugaudaite V;Peceliuniene J;Raskauskiene N;Bunevicius A;Mickuviene N
Objective.本研究的目的是确定PC患者中精神障碍和自杀意念的患病率、识别率和危险因素。设计基于标准心理健康评估的横断面调查。设置.立陶宛初级保健科目998名患者来自四个城市PC诊所。主要结果指标。使用迷你国际神经精神访谈（MINI）评估当前精神障碍和自杀意念。结果根据MINI的数据，27%的患者被诊断出至少有一种当前的精神障碍。最常见的精神障碍是广泛性焦虑症（18%）和重度抑郁发作（MDE）（15%），其次是社交恐惧症（3%），惊恐障碍（3%）和创伤后应激障碍（2%）。约6%的患者报告有自杀意念。约70%的精神障碍患者没有精神病诊断记录，约60%的患者没有接受过精神病治疗。丧偶或离婚患者的当前MDE校正比值更大（比值比，OR = 1.8，95% CI 1.2-2.8）和受教育程度较低（OR = 1.6，95%CI 1.1-2.3），而女性的任何当前焦虑障碍的调整后几率更大（OR = 1.9，95% CI 1.3-2.8）和记录失眠的患者（OR = 2.2，95% CI 1.2-4.2）。自杀意念与使用抗抑郁药（OR = 5.4，95% CI 1.7-16.9）、当前MDE（OR = 2.9，95% CI 1.5-5.8）和过量饮酒（OR = 2.0，95% CI 1.1-3.8）独立相关。结论.抑郁症、焦虑症和自杀意念在PC患者中普遍存在，但认识不足。当前MDE的存在与婚姻状况和受教育程度较低独立相关，而当前焦虑症与女性性别和失眠相关。自杀意念与目前的MDE、抗抑郁药和饮酒有关。
Objective. The aim of this study was to establish prevalence, recognition, and risk factors for mental disorders and suicidal ideation in PC patients. Design. A cross-sectional survey based on standard mental health evaluation. Setting. Lithuanian primary care. Subjects. 998 patients from four urban PC clinics. Main outcome measures. Current mental disorders and suicidal ideation assessed using the Mini International Neuropsychiatric Interview (MINI). Results. According to the MINI, 27% of patients were diagnosed with at least one current mental disorder. The most common mental disorders were generalized anxiety disorder (18%) and major depressive episode (MDE) (15%), followed by social phobia (3%), panic disorder (3%), and post-traumatic stress disorder (2%). Some 6% of patients reported suicidal ideation. About 70% of patients with current mental disorder had no documented psychiatric diagnosis and about 60% received no psychiatric treatment. Greater adjusted odds for current MDE were associated with being widowed or divorced patients (odds ratio, OR = 1.8, 95% CI 1.2–2.8) and with lower education (OR = 1.6, 95% CI 1.1–2.3), while greater adjusted odds for any current anxiety disorder were found for women (OR = 1.9, 95% CI 1.3–2.8) and for patients with documented insomnia (OR = 2.2, 95% CI 1.2–4.2). Suicidal ideation was independently associated with use of antidepressants (OR = 5.4, 95% CI 1.7–16.9), with current MDE (OR = 2.9, 95% CI 1.5–5.8), and with excessive alcohol consumption (OR = 2.0, 95% CI 1.1–3.8). Conclusions. Depression, anxiety disorders, and suicidal ideation are prevalent but poorly recognized among PC patients. The presence of current MDE is independently associated with marital status and with lower education, while current anxiety disorder is associated with female gender and insomnia. Suicidal ideation is associated with current MDE, and with antidepressants and alcohol use.
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影响因子：
4.5
作者：
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