Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002-2003
Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002-2003
复制标题
DOI：
10.1111/j.1440-1819.2005.01397.x
复制
发表时间：
2005-08-01
影响因子：
11.9
通讯作者：
Kikkawa, T
中科院分区：
文献类型：
--
作者：
Kawakami, N;Takeshima, T;Kikkawa, T
为了评估《精神疾病诊断和统计手册》(第四版；DSM-IV)在日本社区人群中的患病率、严重程度和治疗情况，我们在日本的四个社区人群中进行了面对面的家庭调查。共有1,663名社区成年人作出回应(整体回应率为56%)。使用世界卫生组织(WHO)综合国际诊断访谈(WMH-CIDI)的世界精神卫生版(WMH-CIDI)评估DSM-IV的障碍、严重程度和治疗，WMH-CIDI是一种完全结构化的非正式管理的精神病学诊断访谈。前一年任何WMH-CIDI/DSM-IV障碍的患病率为8.8%，其中17%的病例为重度，47%的病例为中度。在特定障碍中，重度抑郁(2.9%)、特定恐惧症(2.7%)和酗酒/依赖(2.0%)最常见。虽然疾病的严重程度与治疗的概率有关，但在访谈前的12个月内，只有19%的重度或中度患者接受了治疗。年龄较大和目前未婚的人如果在过去12个月内经历过任何疾病，患上更严重的DSM-IV障碍的风险更大。那些高中或大学毕业的人比那些大学毕业的人更有可能寻求医疗。研究证实，DSM-IV精神障碍的患病率与亚洲国家相同，但低于西方国家。即使是那些患有严重或中度疾病的人，接受治疗的比例也很低。讨论了可能的策略。
To estimate the prevalence, severity, and treatment of Diagnostic and Statistical Manual of Mental Disorders (4th edn; DSM-IV) mental disorders in community populations in Japan, face-to-face household surveys were conducted in four community populations in Japan. A total of 1663 community adults responded (overall response rate, 56%). The DSM-IV disorders, severity, and treatment were assessed with the World Mental Health version of the World Health Organization (WHO) Composite International Diagnostic Interview (WMH-CIDI), a fully structured lay-administered psychiatric diagnostic interview. The prevalence of any WMH-CIDI/DSM-IV disorder in the prior year was 8.8%, of which 17% of cases were severe and 47% were moderate. Among specific disorders, major depression (2.9%), specific phobia (2.7%), and alcohol abuse/dependence (2.0%) were the most prevalent. Although disorder severity was correlated with probability of treatment, only 19% of the serious or moderate cases received medical treatment in the 12 months before the interview. Older and not currently married individuals had a greater risk of having more severe DSM-IV disorders if they had experienced any within the previous 12 months. Those who had completed high school or some college were more likely to seek medical treatment than those who had completed college. The study confirmed that the prevalence of DSM-IV mental disorders was equal to that observed in Asian countries but lower than that in Western countries. The percentage of those receiving medical treatment was low even for those who suffered severe or moderate disorders. Possible strategies are discussed.