Impacting fators of somatoform disorder and combidity with depressive-anxiety disorders in general hospital patients
10.3760/cma.j.issn.1674-6554.2012.07.014
- VernacularTitle:综合医院就诊患者躯体疾病与抑郁焦虑障碍共病的影响因素
- Author:
Chuanxin LIU
;
Mingjun DUAN
;
Bin LI
;
Ling XIE
;
Yanchun YANG
- Publication Type:Journal Article
- Keywords:
Depression;
Anxiety;
General hospital;
Comorbidity
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2012;21(7):616-618
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo Investigate the influencing fators of somatoform disorder and combidity with depressive-anxiety disorders in general hospital patients.MethodsA multi-center,hospital-based cross-sectional study was conducted.A total of 2044 subjects were screened by using general questionnaire,self-made investing scale related somatoform disorder,hospital anxiety and depression scale(HADS) and general health condition survey.Hamilton anxiety scale (HAMA),hamilton depression scale (HAMD),mini international neuropsychiatric interview (MINI)was used to evaluate by psychiatrists for the subjects who scored≥ 9on HADS.Results 16.24％ of all the patients with stamic have been diagnosed and confirmed with depression and anxiety.Possible causes for depression and anxiety included family depression history(P＜ 0.001,OR=83.481 ),past incidence of the disease (P =0.012,OR =4.758),weak ability in handling it (P ＜ 0.001,OR =3.790),bad health condition(P ＜ 0.0001,OR =5.283 ),aggravation of disease(P ＜ 0.001,OR =2.840),bad martial condition (P =0.009,OR =1.805 ),multiple intercurrent diseases (P =0.001,OR =2.051 ),and dissatisfaction of the salary(P ＜0.001,0R=2.362) and tiredness of working(P=0.0054,OR=3.136).ConclusionThe risk factor of somatic patients with the depression and anxiety include family depression history,past incidence of the disease,weak ability in handling it,bad health condition,aggravation of disease,bad martial condition,multiple intercurrent diseases,and dissatisfaction of the salary and tiredness of working.
