[A multiple center study on depression and anxiety state in the department of neurology].
OBJECTIVE
Inpatients of 15 general hospitals were investigated in order to understand the incidence of depression and anxiety state and the patients'quality of life in the Department of Neurology.


METHODS
We used Hospital Anxiety and Depression scale (HADS), 17-item Hamilton Rating Scale for Depression (HAMD), Hamilton Rating Scale for Anxiety (HAMA) and 36-item Short Form Health Survey (SF-36) as tools to evaluate inpatients' emotional state and health related quality of life within 48 hours after admitted and before discharge, respectively.


RESULTS
610 inpatients were finished admitted evaluation, patients showed clinical depressive symptoms and anxiety symptoms were 123 (20.2%) and 161 (26.4%) respectively, in which including 96 showed the both. 405 inpatients finished discharge evaluation, patients showed clinical depression symptoms and anxiety symptoms were 68 (16.8%) and 93 (23%) respectively, in which including 52 showed the both. Regression analysis indicated that health related quality of life was associated with gender, anxiety and depression state. Only 59 (20.8%) patients received drug treatment during they admitted. There were statistic significance decrease of the HAMA and HAMD total scores between treatment group and non-treatment group when discharged; Vitality, role of emotional and mental health were significantly increased at the time of discharge.


CONCLUSIONS
High rate of depression and anxiety state occurred in the department of Neurology. These abnormal emotions affected the quality of life of patients. If a physician treated somatic diseases only, the depressive and anxiety disturbances could not be remission. Thus, more attention should be paid to give adequate treatment if a patient concomitant presented the emotional disturbances in the general hospital.
Zhang
Jing
J
Department of psychological medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Wei
Jing
J
Shi
Li-li
LL
Li
Shun-wei
SW
Wang
Yan-yun
YY
Chen
Jia-feng
JF
Xu
Jing
J
Gui
Bing
B
Liu
Li
L
Wu
Zhe
Z
Wang
Hui-jun
HJ
Wu
Kai
K
Zhang
Zhong-ling
ZL
Zhang
Guo-hong
GH
Gu
Jin-su
JS
Song
Ben-hua
BH
Xu
Lan-ping
LP
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000523:psychology*; D020520:Brain Infarction / Q000523:psychology; D002543:Cerebral Hemorrhage / Q000523:psychology; D002681:China; D003863:Depression / Q000523:psychology*; D005260:Female; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009462:Neurology; D011788:Quality of Life