Rates of detection of mood and anxiety disorders in primary care: a descriptive, cross-sectional study.
Rates of detection of mood and anxiety disorders in primary care: a descriptive, cross-sectional study.
复制标题
DOI：
10.4088/pcc.10m01013
复制
发表时间：
2011-01-01
影响因子：
--
通讯作者：
Katzman, Martin A
中科院分区：
文献类型：
--
作者：
Vermani, Monica;Marcus, Madalyn;Katzman, Martin A
目的：确定加拿大初级保健机构中重度抑郁症、躁郁症、惊恐障碍、社交焦虑症和广泛性焦虑症的发病率，并评估其检出率。方法：2005年12月6日至2006年5月5日，在加拿大安大略省、不列颠哥伦比亚省和新斯科舍省3个省的7个初级保健诊所进行了描述性横断面研究。 同意参加该研究的人接受了小型国际神经精神病学访谈（MINI）（N = 840）。然后检查这些患者的病历，寻找之前诊断出情绪或焦虑症的证据。误诊被定义为在 MINI 上得到诊断但在患者病历中未得到诊断的病例。 结果：在接受评估的 840 名初级保健患者中，分别有 27.2%、11.4%、12.6%、31.2% 和 16.5% 的患者符合重度抑郁症、双相情感障碍、恐慌症、广泛性焦虑症和社交焦虑症的标准。重度抑郁症、双相情感障碍、惊恐障碍、广泛性焦虑症、社交焦虑症的误诊率分别为65.9%、92.7%、85.8%、71.0%、97.8%。 结论：由于患病率高且检出率低，初级保健机构明显需要加强诊断筛查。
OBJECTIVE: To determine the incidence of major depressive disorder, bipolar disorder, panic disorder, social anxiety disorder, and generalized anxiety disorder and to assess their detection rates in the Canadian primary care setting.METHOD: The descriptive, cross-sectional study was conducted in 7 primary care clinics in 3 Canadian provinces, Ontario, British Columbia, and Nova Scotia, from December 6, 2005, to May 5, 2006. Patients in clinic waiting rooms who consented to participate in the study were administered the Mini International Neuropsychiatric Interview (MINI) (N = 840). These patients' medical charts were then reviewed for evidence of previous diagnosis of a mood or anxiety disorder. Misdiagnosis was defined as cases for which a diagnosis was reached on the MINI but not in the patient's chart.RESULTS: Of the 840 primary care patients assessed, 27.2%, 11.4%, 12.6%, 31.2%, and 16.5% of patients met criteria for major depressive disorder, bipolar disorder, panic disorder, generalized anxiety disorder, and social anxiety disorder, respectively. Misdiagnosis rates reached 65.9% for major depressive disorder, 92.7% for bipolar disorder, 85.8% for panic disorder, 71.0% for generalized anxiety disorder, and 97.8% for social anxiety disorder.CONCLUSIONS: With high prevalence rates and poor detection, there is an obvious need to enhance diagnostic screening in the primary care setting.