Mental health survey of the adult population in Iran

Mental health survey of the adult population in Iran
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DOI:
10.1192/bjp.184.1.70
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发表时间:
2004-01-01
影响因子:
10.5
通讯作者:
Mohammad, K
Mohammad, K
中科院分区:
医学1区
文献类型:
--
作者:
Noorbala, AA;Yazdi, SAB;Mohammad, K

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背景:伊朗没有关于精神障碍流行率的国家数据。这些信息可能是有效的国家心理健康干预的先决条件。目的确定15岁及以上人口样本的心理健康状况。方法采用随机整群抽样的方法,对35 014人进行问卷调查。还进行了补充的半结构化临床访谈,以检测学习障碍(“智力迟钝”)、癫痫和精神病。结果研究中约五分之一的人(25.9%的女性和14.9%的男性)被检测为可能病例。农村地区精神障碍患病率为21.3%,城市地区为20.9%。抑郁和焦虑症状比躯体化和社交功能障碍更为普遍。全科医生对家庭的访谈显示,学习障碍、癫痫和精神病的患病率分别为1.4%、1.2%和0.6%。患病率随着年龄的增长而增加,在已婚、丧偶、离婚、失业和退休人群中患病率更高。结论我国的患病率与国际研究相当。这个国家的地区差异很大,女性面临的风险更大。利益声明无。资金详情见致谢。
Background No national data on the prevalence of mental disorders are available in Iran. Such information may be a prerequisite for efficient national mental health intervention.Aims To determine the mental health status of a population sample aged 15 years and over.Method Through random cluster sampling, 35 014 individuals were selected and evaluated using the 28-item version of the General Health Questionnaire. A complementary semi-structured clinical interview was also undertaken to detect learning disability ('mental retardation'), epilepsy and psychosis.Results About a fifth of the people in the study (25.9% of the women and 14.9% of the men) were detected as likely cases. The prevalence of mental disorders was 21.3% in rural areas and 20.9% in urban areas. Depression and anxiety symptoms were more prevalent than somatisation and social dysfunction. The interview of families by general practitioners revealed that the rates of learning disability, epilepsy and psychosis were 1.4%, 1.2% and 0.6%, respectively. Prevalence increased with age and was higher in the married, widowed, divorced, unemployed and retired people.Conclusions Prevalence rates are comparable with international studies. There is a wide regional difference in the country, and women are at greater risk.Declaration of interest None. Funding detailed in Acknowledgements.