The Disability of Social Function of Gastrointestinal Outpatients with Depressive or Anxiety Disorders in General Hospitals_West China Medical Journal

Authors：

 ZHANGLing ¹ , HEYan-ling ² , MAHong ³ , LIUZhe-ning ⁴ , JIAFu-jun ⁵ , LIXiao-jing ¹ ,  ZHANGLan ¹

1. Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Shanghai Mental Health Center Affiliated to Medical College of Shanghai Jiaotong University, Shanghai 200030, P. R. China;
3. Institute of Mental Health, Peking University, Beijing 100007, P. R. China;
4. Mental Health Institute of the Second Xiangya Hospital Affiliated to Central South University, Changsha, Hunan 410011, P. R. China;
5. Mental Health Center of Guangdong Province, Guangzhou, Guangdong 510120, P. R. China;

Corresponding?author：

ZHANGLan, Email: lanzhang3@gmail.com

Keywords：

Gastrointestinal outpatient; Depressive disorders; Anxiety disorders; Life quality

DOI：

10.7507/1002-0179.20150420

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Objective To explore the disability of social function of gastrointestinal outpatients with depressive or anxiety disorders in general hospitals. Methods A multicenter cross-sectional study was conducted from May to June in 2007. A total of 1 995 subjects from 13 general hospitals in China were screened by using the Hospital Anxiety and Depression Scale (HADS). The subjects scored≥8 on HADS were diagnosed via the Mini International Neuropsychiatric Interview by psychiatrists. The Sheehan Disability Scale (SDS) was used to assessed patients' disability of life, work, and social intercourse aspects. Then, compared the subjective quality of life, number of doctor visits, and monthly loss of working days between outpatients with and without depressive or anxiety disorders in last six months. Further, compared the social dysfunction between patients with depression/anxiety disorders (the case group) and without depression/anxiety disorders (the control group) in functional disorders group and organic disease group of gastroenterology respectively. Results In comparison to the control group, the case group had much higher score of SDS, including life, work, and social intercourse (P<0.05) aspect and had more doctor visits and loss of more working days (P<0.05). In functional disorders group of gastroenterology, the case group had much higher score of SDS, including life, work, and social intercourse (P<0.05) aspect and had more doctor visits, loss of more working days (P<0.05) compared with those in the control group. In organic disease group of gastroenterology, the case group had much higher score of SDS, including life, work, and social intercourse (P<0.05) aspect and had loss of more working days (Z=-4.307, P<0.001) compared with those in the control group. Conclusion For the patients with functional disorders or organic disease of gastroenterology, the depressive and anxiety disorders may lead to the disability of social function.

Citation： ZHANGLing, HEYan-ling, MAHong, LIUZhe-ning, JIAFu-jun, LIXiao-jing, ZHANGLan. The Disability of Social Function of Gastrointestinal Outpatients with Depressive or Anxiety Disorders in General Hospitals. West China Medical Journal, 2015, 30(8): 1469-1472. doi: 10.7507/1002-0179.20150420 Copy

1.	劉文忠. 幽門螺桿菌感染、慢性胃炎和功能性消化不良[J]. 中華消化雜志, 2002, 22(10):1-2.
2.	Leon AC, Shear MK, Portera L, et al. Assessing impairment in patients with panic disorder:the Sheehan Disability Scale[J]. Soc Psychiatry Psychiatr Epidemiol, 1992, 27(2):78-82.
3.	Leon AC, Olfson M, Portera L, et al. Assessing psychiatric impairment in primary care with the Sheehan Disability Scale[J]. Int J Psychiatry Med, 1997, 27(2):93-105.
4.	Sheehan KH, Sheehan DV. Assessing treatment effects in clinical trials with the discan metric of the Sheehan Disability Scale[J]. Int Clin Psychopharmacol, 2008, 23(2):70-83.
5.	Erkens E, Jonker K, Blom M, et al. Sheehan disability scale as outcome measure in depressed out-patients[J]. J Affect Disord, 2008, 107(Suppl 1):S103.
6.	凌政, 沙亮, 季建林, 等. 綜合醫院焦慮抑郁量表在內科門診患者中的應用[J]. 上海精神醫學, 2010, 22(4):204-206, 223.
7.	朱軍紅, 鐘寶亮. Sheehan殘疾量表在美沙酮維持治療門診患者中應用的信效度研究[J]. 中國藥物依賴性雜志, 2010, 19(4):281-284.
8.	司天梅, 舒良, 黨衛民, 等. 簡明國際神經精神訪談中文版的臨床信效度[J]. 中國心理衛生雜志, 2009, 23(7):493-497, 503.
9.	Pirkola S, Saarni S, Suvisaari J, et al. General health and quality-of-life measures in active, recent, and comorbid mental disorders:a population-based health 2000 study[J]. Compr Psychiatry, 2009, 50(2):108-114.
10.	Larsson K, L??f L, R?nnblom A, et al. Quality of life for patients with exacerbation in inflammatory bowel disease and how they cope with disease activity[J]. J Psychosom Res, 2008, 64(2):139-148.
11.	Bennebroek Evertsz' F, Thijssens NA, Stokkers PC, et al. Do inflammatory bowel disease patients with anxiety and depressive symptoms receive the care they need?[J]. J Crohns Colitis, 2012, 6(1):68-76.
12.	Lee HJ, Lee SY, Kim JH, et al. Depressive mood and quality of life in functional gastrointestinal disorders:differences between functional dyspepsia, irritable bowel syndrome and overlap syndrome[J]. Gen Hosp Psychiatry, 2010, 32(5):499-502.
13.	石曉燕, 邱騫, 崔佳, 等. 功能性消化不良患者抗焦慮、抑郁治療前后的社會功能研究[J]. 中國心理衛生雜志, 2000, 14(6):420-421.
14.	Creed F, Morgan R, Fiddler M, et al. Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients[J]. Psychosomatics, 2002, 43(4):302-309.
15.	da Silva Lima AF, de Almeida Fleck MP. Subsyndromal depression:an impact on quality of life?[J]. J Affect Disord, 2007, 100(1/2/3):163-169.
16.	Mu?oz RA, Mcbride ME, Brnabic AJ, et al. Major depressive disorder in Latin America:the relationship between depression severity, painful somatic symptoms, and quality of life[J]. J Affect Disord, 2005, 86(1):93-98.
17.	Beard C, Weisberg RB, Keller MB. Health-related quality of life across the anxiety disorders:findings from a sample of primary care patients[J]. J Anxiety Disord, 2010, 24(6):559-564.

1. 劉文忠. 幽門螺桿菌感染、慢性胃炎和功能性消化不良[J]. 中華消化雜志, 2002, 22(10):1-2.
2. Leon AC, Shear MK, Portera L, et al. Assessing impairment in patients with panic disorder:the Sheehan Disability Scale[J]. Soc Psychiatry Psychiatr Epidemiol, 1992, 27(2):78-82.
3. Leon AC, Olfson M, Portera L, et al. Assessing psychiatric impairment in primary care with the Sheehan Disability Scale[J]. Int J Psychiatry Med, 1997, 27(2):93-105.
4. Sheehan KH, Sheehan DV. Assessing treatment effects in clinical trials with the discan metric of the Sheehan Disability Scale[J]. Int Clin Psychopharmacol, 2008, 23(2):70-83.
5. Erkens E, Jonker K, Blom M, et al. Sheehan disability scale as outcome measure in depressed out-patients[J]. J Affect Disord, 2008, 107(Suppl 1):S103.
6. 凌政, 沙亮, 季建林, 等. 綜合醫院焦慮抑郁量表在內科門診患者中的應用[J]. 上海精神醫學, 2010, 22(4):204-206, 223.
7. 朱軍紅, 鐘寶亮. Sheehan殘疾量表在美沙酮維持治療門診患者中應用的信效度研究[J]. 中國藥物依賴性雜志, 2010, 19(4):281-284.
8. 司天梅, 舒良, 黨衛民, 等. 簡明國際神經精神訪談中文版的臨床信效度[J]. 中國心理衛生雜志, 2009, 23(7):493-497, 503.
9. Pirkola S, Saarni S, Suvisaari J, et al. General health and quality-of-life measures in active, recent, and comorbid mental disorders:a population-based health 2000 study[J]. Compr Psychiatry, 2009, 50(2):108-114.
10. Larsson K, L??f L, R?nnblom A, et al. Quality of life for patients with exacerbation in inflammatory bowel disease and how they cope with disease activity[J]. J Psychosom Res, 2008, 64(2):139-148.
11. Bennebroek Evertsz' F, Thijssens NA, Stokkers PC, et al. Do inflammatory bowel disease patients with anxiety and depressive symptoms receive the care they need?[J]. J Crohns Colitis, 2012, 6(1):68-76.
12. Lee HJ, Lee SY, Kim JH, et al. Depressive mood and quality of life in functional gastrointestinal disorders:differences between functional dyspepsia, irritable bowel syndrome and overlap syndrome[J]. Gen Hosp Psychiatry, 2010, 32(5):499-502.
13. 石曉燕, 邱騫, 崔佳, 等. 功能性消化不良患者抗焦慮、抑郁治療前后的社會功能研究[J]. 中國心理衛生雜志, 2000, 14(6):420-421.
14. Creed F, Morgan R, Fiddler M, et al. Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients[J]. Psychosomatics, 2002, 43(4):302-309.
15. da Silva Lima AF, de Almeida Fleck MP. Subsyndromal depression:an impact on quality of life?[J]. J Affect Disord, 2007, 100(1/2/3):163-169.
16. Mu?oz RA, Mcbride ME, Brnabic AJ, et al. Major depressive disorder in Latin America:the relationship between depression severity, painful somatic symptoms, and quality of life[J]. J Affect Disord, 2005, 86(1):93-98.
17. Beard C, Weisberg RB, Keller MB. Health-related quality of life across the anxiety disorders:findings from a sample of primary care patients[J]. J Anxiety Disord, 2010, 24(6):559-564.

West China Medical Journal

The Disability of Social Function of Gastrointestinal Outpatients with Depressive or Anxiety Disorders in General Hospitals

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