Prevalence of psychiatric disorders in gynecologic outpatients

被引:44
作者
Sundström, IME
Bixo, M
Björn, I
Åström, M
机构
[1] Umea Univ, Dept Clin Sci Obstet & Gynecol, Pitea, Sweden
[2] Umea Univ, Dept Clin Sci, Pitea, Sweden
关键词
anxiety depression; gynecology; women;
D O I
10.1067/mob.2001.108072
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: This study was undertaken to determine the point prevalence of psychiatric disorders in an unselected gynecologic population. STUDY DESIGN: Participants were 1013 consecutive women attending 2 outpatient gynecology clinics in northern Sweden between November 16 and December 15, 1998. The Primary Care Evaluation of Mental Disorders (PRIME-MD) was used as a diagnostic tool for evaluating mood, anxiety, and eating disorders. RESULTS: Overall, 897 patients (88.5%) filled in the diagnostic tool's patient questionnaire. Psychiatric disorders were present in 30.5% of the patients. Mood disorders were most common; major depression was prevalent in 10.1% of patients and minor depression was seen in 12.4% of patients. Anxiety disorders were also common and were encountered in 12.1% of patients. Among patients with a diagnosis, only 21.4% had some form of treatment. CONCLUSIONS: The prevalence of mood and anxiety disorders in an outpatient gynecology clinic is high. The majority of women with a diagnosis based on the diagnostic tool did not have a previous diagnosis and were untreated.
引用
收藏
页码:8 / 13
页数:6
相关论文
共 25 条
[1]  
ANGST J, 1992, LONG TERM TREATMENT, V3, P1
[2]   PSYCHIATRIC MORBIDITY AND MENOPAUSE - SURVEY OF A GYNECOLOGICAL OUTPATIENT-CLINIC [J].
BALLINGER, CB .
BRITISH JOURNAL OF PSYCHIATRY, 1977, 131 (JUL) :83-89
[3]   SEX-DIFFERENCES IN DEPRESSION - A ROLE FOR PREEXISTING ANXIETY [J].
BRESLAU, N ;
SCHULTZ, L ;
PETERSON, E .
PSYCHIATRY RESEARCH, 1995, 58 (01) :1-12
[4]   Depressive symptoms are often unrecognized in gynaecological practice [J].
Buekens, P ;
van Heeringen, K ;
Boutsen, M ;
Smekens, P ;
Mattellaer, P .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1998, 81 (01) :43-45
[5]   PSYCHIATRIC MORBIDITY IN A GYNECOLOGY CLINIC - AN EPIDEMIOLOGICAL SURVEY [J].
BYRNE, P .
BRITISH JOURNAL OF PSYCHIATRY, 1984, 144 (JAN) :28-34
[6]  
Davidson JRT, 1999, J CLIN PSYCHIAT, V60, P4
[7]  
DOMAR AD, 1992, FERTIL STERIL, V58, P1158
[8]   THE ZURICH STUDY .12. SEX-DIFFERENCES IN DEPRESSION - EVIDENCE FROM LONGITUDINAL EPIDEMIOLOGIC DATA [J].
ERNST, C ;
ANGST, J .
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 1992, 241 (04) :222-230
[9]   PREMENSTRUAL DEPRESSION PREDICTS FUTURE MAJOR DEPRESSIVE DISORDER [J].
GRAZE, KK ;
NEE, J ;
ENDICOTT, J .
ACTA PSYCHIATRICA SCANDINAVICA, 1990, 81 (02) :201-205
[10]  
Holcomb WL, 1996, OBSTET GYNECOL, V88, P1021