贝宁大学教学医院(UBTH)抑郁症患者的六年回顾

E. Adayonfo, C. Selo-Ojeme
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摘要

抑郁症对疾病负担的贡献是巨大的,甚至预计还会增加。患者、护理人员乃至整个社会都因抑郁症而受苦。数据来自一家教学医院心理健康诊所在6年期间接待的522名抑郁症患者中的152名患者的病例档案。抑郁期患病率为29.12%。女性居多(女性55.3%,男性44.7%)。大多数患者年龄在23-33岁之间,53.3%的人没有工作,46.1%的人在被诊断为抑郁症之前经历过压力生活事件,17.8%的人患有抑郁症。所有患者均有抑郁情绪,80%以上患者有快感缺乏、厌食和失眠。近60%的人患有严重抑郁症。在所有考虑的患者特征中,只有职业功能受损与严重抑郁显著相关,而职业功能受损、无价值感、自杀意念和严重抑郁与企图自杀显著相关。多年来,该地区的抑郁症状似乎一直很稳定。临床医生需要注意职业功能,因为它可能是抑郁症严重程度的一个指标。在对抑郁症患者进行评估时,应询问受损的职业功能、毫无价值的感觉和自杀意念,因为发现这些可能会预防企图或实际的自杀。关键词:抑郁症;病人;诊所;患病率
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Depressed patients seen at the University of Benin Teaching Hospital (UBTH): a six-year review
The contribution of depression to disease burden is enormous and is even expected to increase. Patients, caregivers and indeed society suffer on account of depression. Data was obtained from the case files of 152 depressed patients out of the total of 522 patients attended to in the mental health clinic of a teaching hospital, over a six-year period. Thus the period prevalence of depression was 29.12%. There were more females (females 55.3% and males 44.7%). Majority of the patients were in the age group 23-33 years, 53.3% were unemployed, 46.1% had experienced a stressful life event prior to being diagnosed with depression and 17.8% had a first-degree relation who has suffered depression. All the patients had depressed mood while more than 80% had anhedonia, anorexia and insomnia. Almost 60% had severe depression. Of all the patients’ characteristics considered, only impaired occupational functioning was significantly associated with severe depression while impaired occupational functioning, feeling of worthlessness, suicidal ideation and severe depression were significantly associated with attempted suicide. Depressive symptomatology in the region appears to have been stable over the years. Clinicians need to pay attention to occupational functioning, as it may be a pointer to the severity of depression. Impaired occupational functioning, feelings of worthlessness and suicidal ideation should be inquired after during evaluation of depressed patients as uncovering them may forestall attempted or actual suicide. Keywords: Depressed; Patients; Clinic; Prevalence
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