摘要
目的 探讨妇科躯体疾病患者抑郁及焦虑状况及其相关因素分析。方法 自 2 0 0 0年 10月～2 0 0 1年 12月 ,采用Zung’s抑郁自评量表 (SDS) ,Zung’s焦虑自评量表 (SAS) ,汉米尔顿抑郁量表 (HAMD) ,汉米尔顿焦虑量表 (HAMA)评定精神状况。对象为 2 0～ 6 6岁初次入院的妇科躯体疾病患者 ,文化程度为小学至硕士研究生共 113名。结果 SDS量表中符合轻度抑郁者有 3人 ,占被试人群的 2 6 5 % ;符合中、重度抑郁者各 2人 ,分别占 1 77%。HAMD量表中符合轻度抑郁者 2人 ,占 1 77% ;符合中度抑郁者有 3人 ,占 2 6 5 %。SAS量表中符合轻度焦虑者有 3人 ,占被试人群的 2 6 5 %。HAMA量表中符合可能有焦虑者有 2 5人 ,占2 2 12 %。符合肯定有焦虑者 8人 ,占 7 0 8% ,符合明显焦虑者有 2人 ,占 1 77%。 4 0～ 4 9岁之间及妇科恶性肿瘤患者其抑郁及焦虑的发生率与总体被试人群构成比差异存在显著性。文化程度及婚姻状况等差异无显著性。结论 妇科躯体疾病患者尤其是 4 0～ 4 9岁之间者及恶性肿瘤患者 ,存在抑郁及焦虑状况 ,需要心理辅导和心理治疗。
Objective To analyze the status of depression and anxiety of gynecological patients and their related factors.Methods One hundred and thirteen patients were randomly selected from October 2000 to December 2001 for mood analysis by self-rating depression scale,self-rating anxiety scale,Hamilton depression scale and Hamilton anxiety scale.Results The prevalence of depression was 6.19%(7/113)by SDS with 3 cases(2.65%)mild,2(1.77%)moderate and 2 severe.By HAMD,the incidence of depression was 4.42%(5/113),with 2 cases(1.77%)mild and 3(2.65%)moderate.Furthermore,3(2.65%)patients were found with anxiety by SAS.According to HAMA,25(22.12%)patients might have anxiety,the prevalence of anxiety was 8.85%(10/113),among whom,8(7.08%)were with anxiety and 2(1.77%)had significant anxiety.Significantly different mental status was obtained in women in their forties and in women with malignant tumor.Conclusion Comprehensive psychotherapy should be carried out in gynecological patients who got depression or anxiety.
出处
《中国妇产科临床杂志》
2004年第6期426-429,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
