患有恶性瘤的患者中抑郁症的患病率是否与诊断方法不同:一项比较四种诊断方法的研究
Eepsita Mishra1, Subodh Bhagyalaxmi Nanjaiya1, Sushmita Ghoshal2
1Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of psychiatry
|August 5, 2024
概括
癌症患者中抑郁症的患病率因使用的诊断方法而有很大差异. 这项研究比较了各种方法,在癌症幸存者中发现抑郁症检测率的差异.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 临床诊断 临床诊断 临床诊断
背景情况:
- 有限的研究存在,比较癌症患者的抑郁症诊断方法.
- 抑郁症是癌症患者常见的并发症.
- 准确诊断抑郁症对于有效的癌症治疗至关重要.
研究的目的:
- 为了比较不同方法的诊断准确性,以识别癌症患者的抑郁症.
- 评估各种抑郁症评估工具与已建立的诊断标准 (DSM-5) 的一致性.
主要方法:
- 一项涉及200名癌症患者 (诊断前≥3个月) 的横截面研究.
- 使用精神疾病诊断和统计手册第五版 (DSM-5) 标准进行评估,通过半结构面试使用包容性,排他性和替代性标准.
- 患者健康问卷-9 (PHQ-9) 填写.
主要成果:
- 抑郁症的患病率在21.5% (不包括标准) 到38.5% (PHQ-9) 之间.
- 所有评估的诊断方法都与DSM-5标准有很高的一致性.
- 该研究包括一个多样化的患者群体,平均年龄为50.28岁.
结论:
- 相当数量的癌症患者经历了抑郁症.
- 诊断方法的选择显著影响了该人口中抑郁症的估计患病率.
- 标准化诊断方法对于在瘤学环境中一致评估抑郁症至关重要.
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