综合医院抑郁焦虑问题.ppt

焦虑和躯体疾病的关系 * 对年龄和性别进行校正 ** P0.001 ↑ P0.05 ** ** ** ** ** ↑ Bowen RC, Senthilselvan A, Barale A. Physical illness as an outcome of chronic anxiety disorders. Can J Psychiatry 2000;45:459-464。 躯体症状妨碍对焦虑及抑郁的识别 以躯体症状为主诉的病人诊断正确率不足50% 在家庭医疗诊所中，76%的抑郁或焦虑障碍患者主要表现为躯体症状 躯体症状降低医生对精神障碍的识别率，从77%降至22% Gureje O,Simon GE,Ustun TB,et al.Somatization in cross-cultural perspective: a World Health Organization study in primary care.Am J Psychiatry,1997;154(7):989-995. Kirmayer LJ, Robbins JM, Dworkind M, et al.Somatization and the recognition of depression and anxiety in p