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在初级保健中抑郁和焦虑的患病率和风险因素
Yu Cong Eugene Chua1, Yijun Carol Lin2, Jeremy Kaiwei Lew3
1Hougang Polyclinic, National Healthcare Group Polyclinics, Singapore.
Annals of the Academy of Medicine, Singapore
|June 26, 2024
概括
同时存在的抑郁和焦虑在初级保健中很常见,特别是在年轻人,女性和糖尿病患者中. 建议针对这些高风险群体进行有针对性的心理健康查.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 流行病学 流行病学
背景情况:
- 焦虑和抑郁症是全球主要的心理健康问题.
- 在初级保健机构的患病率数据仍然有限.
- 在初级保健中了解这些情况对于有效的干预至关重要.
研究的目的:
- 在初级保健人口中确定抑郁症和焦虑症的患病率.
- 为了确定与这些疾病相关的患者特征.
- 为有针对性的心理健康查策略提供信息.
主要方法:
- 在新加坡的初级保健诊所进行了一项横截面研究.
- 使用了按年龄分层抽样和自我管理问卷 (PHQ-9,GAD-7).
- 多变量逻辑回归确定了相关因素.
主要成果:
- 同时存在的抑郁和焦虑的患病率为5.4%.
- 在年轻的成年人 (21-64岁),妇女和糖尿病患者中观察到共存疾病的几率更高.
- 只有抑郁症的患病率为3.3%,只有焦虑症的患病率为1.9%.
结论:
- 同时存在的抑郁和焦虑在初级保健中非常普遍.
- 年轻人,妇女和糖尿病患者代表了关键的风险群体.
- 查计划应整合对抑郁和焦虑的评估,重点关注已确定的高风险人群.
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