A multicenter study of depression among emergency department patients
A multicenter study of depression among emergency department patients
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DOI：
10.1197/j.aem.2004.08.053
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发表时间：
2004-12-01
影响因子：
4.4
通讯作者：
Camargo, CA
中科院分区：
文献类型：
--
作者：
Kumar, A;Clark, S;Camargo, CA
目的：作者试图使用单一问题筛选确定急诊科（艾德）患者12个月的抑郁症患病率。方法：这项横断面研究在波士顿地区的四个急诊科进行。在两个24小时的时间内，对18岁或以上的连续患者进行了采访，不包括那些患有严重疾病，性侵犯的潜在受害者或情绪不安的人。在访谈中，患者被问到“在过去的12个月里，您是否有以下问题？患者对包括抑郁症在内的一系列健康问题回答“是”或“否”。在一项验证性研究中，作者发现这种简单的方法与流行病学研究中心抑郁量表的结果相关性很好。结果：在752名合格患者中，539名（72%）接受了采访。在这些患者中，30%（95%置信区间= 26%至34%）在过去12个月内报告抑郁症。与非抑郁症患者相比，抑郁症患者更可能是中年女性，社会经济地位较低。抑郁患者更可能是吸烟者，并报告哮喘或关节炎/风湿病的诊断。在多变量分析中，与抑郁症独立相关的因素是较低的教育水平，吸烟，自我报告的焦虑，慢性疲劳和背部问题。结论：艾德患者12个月的抑郁患病率为30%，抑郁患者具有独特的社会人口学特征和健康状况。将来，在艾德环境中认识抑郁症的危险因素和使用简单的筛查工具可以帮助识别抑郁症，随后转诊到精神卫生服务。
Objectives: The authors sought to determine the 12-month prevalence of depression among emergency department (ED) patients using a single-question screen. Methods: This cross-sectional study was conducted in four Boston-area EDs. For two 24-hour periods, consecutive patients aged 18 years or older were interviewed, excluding those who were severely ill, potential victims of sexual assault, or emotionally disturbed. During the interview, patients were asked "Have you had any of the following problems during the past 12 months?" Patients answered "yes" or "no" to a list of health problems that included depression. In a validation study, the authors found that this simple approach correlated well with results from the validated Center for Epidemiologic Studies Depression Scale. Results: Of 752 eligible patients, 539 (72%) were interviewed. Of these patients, 30% (95% confidence interval = 26% to 34%) reported depression within the past 12 months. Compared with their nondepressed counterparts, depressed patients were more likely middle-aged, female, and of lower socioeconomic status. Depressed patients were more likely to be smokers and to report a diagnosis of asthma or arthritis/ rheumatism. In a multivariate analysis, factors that were independently associated with depression were lower level of education, smoking, and self-reported anxiety, chronic fatigue, and back problems. Conclusions: A 30% 12-month prevalence of depression among ED patients was found. Depressed patients had a distinct sociodemographic and health profile. In the future, awareness of risk factors for depression in the ED setting and use of simple screening instruments could aid in the recognition of depression, with subsequent referral to mental health services.