Prevalence and associated physical symptoms of depressive and anxiety symptoms in neurology outpatient clinic

作者：Zezhi Li, Yong Hao, Yan Han, Shuai Wu, Desheng Zhu, Mingyuan Liu, Qiang Dong, Xin Wang, Yangtai Guan · 发表于：Journal of Neurology Neurosurgery & Psychiatry · 年份：2019 · DOI：10.1136/jnnp-2018-320130 · 被引用次数：20 · 研究领域：Psychosomatic Disorders and Their Treatments、Fibromyalgia and Chronic Fatigue Syndrome Research、Stroke Rehabilitation and Recovery

The co-occurrence of depressive and anxiety symptoms in a variety of neurological conditions are widely common and disabling. Furthermore, it could persist for a long time and interfere in the development of neurological disorders, and affect the prognosis of neurological disorders.1 However, despite their high incidence and jeopardy, depressive and anxiety symptoms remain under-recognised and undertreated.2 Most previous studies focused on depressive and anxiety symptoms in specific neurological diseases such as stroke, Parkinson’s disease, epilepsy and multiple sclerosis. However, the prevalence of depressive and anxiety symptoms in neurological diseases were reported differently, and few studies reported the situation in Asia. Furthermore, a number of outpatients are newly referred to general neurology clinics for different symptoms such as headache, dizziness, cerebrovascular diseases and insomnia. Hence, the prevalence of depressive and anxiety symptoms in these new patients at the neurology outpatient clinic remains unclear, and the symptoms which predict the experience of depressive and anxiety symptoms are still ambiguous. We aimed to investigate the prevalence of depressive and anxiety symptoms in newly referred patients at the general neurology outpatient clinics and determine the correlates for occurrence of these symptoms. Patients newly referred at the general neurology outpatient clinics were recruited from three centres in Shanghai (Shanghai Huashan, Shanghai...