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An analysis of psychological problems of patients in cardiology clinic

By 刘梅颜, 胡大一, 姜荣环, 邓俊国 and 杨秀玲


目的 了解心内科门诊患者合并心理问题的现状及临床特点.方法 采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、汉密尔顿抑郁量表(HRSD)、汉密尔顿焦虑量表(HAMA)对2005年10月至2006年11月在北京大学人民医院心内科门诊就诊的所有347例患者进行评估.结果 单纯躯体疾病所占比例为52.4%,单纯心理疾病占12.7%,躯体疾病与心理疾病共病占27.7%.其中心理问题主要表现为抑郁31例(8.9%)、焦虑62例(17.9%)、抑郁焦虑混合状态28例(8.1%).单纯心理疾病患者既往多诊断为心血管疾病、功能性疾病或消化系统疾病,并且大部分患者不认为自身有心理问题.结论 心内科门诊患者中心理问题和躯体疾病共病常见,单纯心理问题容易被误诊为心血管疾病.To explore the current condition of psychological problems of patients in cardiology clinic.A total of 347 patients in the cardiology clinic of Prof. HU Da-yi were screened by self-rating depression scale (SDS), Self-rating anxiety scale (SAS), Hamilton rating scale for depression (HRSD) and Hamilton anxiety scale (HAMA).The rates of patients with somatic disease only or with psychological disorder only were 52.4% and 12.7%, the rate of somatic disease accompanied with psychological disorder was 27.7%. For the patients with psychological problems, there were 31 cases with depression (8.9%), 62 cases with anxiety (17.9%), and 28 cases (8.1%) suffering from mixed depression and anxiety the diagnosis of cardiovascular disease, functional disease or digestive disease was always used by doctors for the patients with psychological problems only, as they always did not accept the diagnosis of psychological disorder.It is very common that patients in cardiology clinic department suffered from psychological problems. The patients with psychological disorder only were easily misdiagnosed as somatic disease especially cardiovascular disease.PubMed中文核心期刊要目总览(PKU)中国科技核心期刊(ISTIC)中国科学引文数据库(CSCD)04277-2804

Topics: 冠状动脉疾病 抑郁 焦虑 Coronary disease Depression Anxiety
Publisher: 中华内科杂志
Year: 2008
DOI identifier: 10.3321/j.issn:0578-1426.2008.04.006
OAI identifier: oai:localhost:20.500.11897/197773
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