Recognition of depression and related risk factors among non psychiatric doctors in tertiary general hospital outpatients in Beijing
10.3760/cma.j.issn.0578-1426.2010.06.007
- VernacularTitle:非精神科医生对抑郁障碍的识别和相关因素
- Author:
Ronghuan JIANG
;
Weimin DANG
;
Hong MA
;
Meiyan LIU
;
Wenpei BAI
;
Jing WEI
;
Yanling HE
- Publication Type:Journal Article
- Keywords:
Depression;
Diagnosis,difierential;
Outpatients
- From:
Chinese Journal of Internal Medicine
2010;49(6):477-479
- CountryChina
- Language:Chinese
-
Abstract:
0bjective To explore the level of identification and related factors of depression in physicians of Beijing tertiary general hospitals.Methods A cross-sectional investigation was used to screen the outpatients,and depression was diagnosed according to Mini International Neuropsyehiatric Interview (MINI).Identification of depression was defined as referral to psychiatrist or managed with antidepressant or sedative hypnotics.Results Among 248 cases of depression,30(12.1%)were referred to psychiatrists,28(8.9%)managed with antidepressant or sedative hypnotics.The identification rate of depression by physicians was 21.0%.and the identification rate by neurologist was 40.4%,which is higher than the rate by cardiologist(22.4%),gastrointestinal physician(3.8%)and gynecologist(2.0%)(χ2=61.077,P<0.05).Visiting neurology department,severity of life impairment,with psychotic distress history,hadpsychological complaints.co-morbidity with anxiety related to the physician's identification of depression.Among the psychological complaints.only mood disorder and insomnia were related to the physician'sidentification of depression.Conclusions The level of depression identification by physician was low,the level of neurologist wag higher than that of cardiologist,gastrointestinal physician and gynecologist.The patient with serious life impairment,psychotic distress history,mood disorder and insomnia complaints was asily to be identified.
