PREVALENCE, NATURE, AND COMORBIDITY OF DEPRESSIVE-DISORDERS IN PRIMARY-CARE
PREVALENCE, NATURE, AND COMORBIDITY OF DEPRESSIVE-DISORDERS IN PRIMARY-CARE
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初级保健中抑郁障碍的流行率、性质和合并症
DOI：
10.1016/0163-8343(94)90006-x
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发表时间：
1994-07-01
影响因子：
7
通讯作者：
SCHWENK, TL
中科院分区：
文献类型：
--
作者：
COYNE, JC;FECHNERBATES, S;SCHWENK, TL
本文使用DSM-III-R标准对从家庭医生候诊室招募的患者中抑郁障碍的患病率、性质和共病进行了检查。共有1928名家庭实践患者完成了包括流行病学研究中心抑郁量表(CES-D)在内的筛查表，CES-D得分升高的患者被过度抽样，以使用DSM-III-R(SCID)的结构化临床访谈进行可能的访谈。在425个加权样本中，重度抑郁症的患病率为13.5%，所有抑郁症的患病率为22.6%。超过40%的重度抑郁障碍(MDD)患者仅有轻度抑郁。性别和其他人口统计学变量未能区分抑郁症患者，但各种自我评级做到了。抑郁症与焦虑症和药物滥用共病有关。结果从抑郁症在初级抑郁症中罕见的公共健康问题的含义方面进行了讨论，但也从一些诊断问题的角度进行了讨论，特别是对重度抑郁症的损害标准的使用。
This article examines the prevalence, nature, and comorbidity of depressive disorders using DSM-III-R criteria among patients recruited from the waiting rooms of family physicians. A total of 1928 family practice patients completed a screening form including the Center for Epidemiologic Studies-Depression Scale (CES-D), and patients with elevated CES-D scores were oversampled for possible interviews using the Structured Clinical Interview for the DSM-III-R (SCID). In the resulting weighted sample of 425, a prevalence of 13.5% was obtained for major depression and 22.6% for all depressive disorders. Over 40% of the patients with major depressive disorder (MDD) were only mildly depressed. Gender and other demographic variables failed to distinguish depressed patients, but a variety of self-ratings did. Depression was associated with comorbid anxiety disorders and substance abuse. Results are discussed in terms of the implications of depression in primary rare as a public health problem, but also in terms of some diagnostic issues, particularly the use of an impairment criterion for major depression.