Prevalence and treatment of mental disorders, 1990 to 2003
Prevalence and treatment of mental disorders, 1990 to 2003
复制标题
DOI：
10.1056/nejmsa043266
复制
发表时间：
2005-06-16
影响因子：
158.5
通讯作者：
Zaslavsky, AM
中科院分区：
文献类型：
--
作者：
Kessler, RC;Demler, O;Zaslavsky, AM
背景：尽管20世纪90年代美国的精神卫生保健系统发生了巨大变化，但人们对精神障碍的患病率或治疗率的变化知之甚少。方法：我们调查了过去十年中18 ~ 54岁人群中精神障碍的患病率和治疗率的趋势。从全国科摩罗调查（NCS）的数据，获得了5388面对面的家庭访谈1990年和1992年之间进行的，从NCS复制的数据，获得了4319个访谈2001年和2003年之间进行。使用美国精神病学协会的精神疾病诊断与统计手册第四版（DSM-IV）对访谈前12个月内存在的焦虑症、心境障碍和药物滥用障碍进行诊断。情绪障碍的治疗按精神卫生服务部门进行分类：精神病学服务，其他精神卫生服务，一般医疗服务，人类服务，和补充替代医疗services.RESULTS：精神障碍的患病率在十年期间没有变化（1990年至1992年和2001年至2003年之间的30.5%，29.4%，P=0.52），但治疗率增加。在患有疾病的患者中，20.3%在1990年至1992年期间接受了治疗，32.9%在2001年至2003年期间接受了治疗（P
BACKGROUND:Although the 1990s saw enormous change in the mental health care system in the United States, little is known about changes in the prevalence or rate of treatment of mental disorders. \METHODS:We examined trends in the prevalence and rate of treatment of mental disorders among people 18 to 54 years of age during roughly the past decade. Data from the National Comorbidity Survey (NCS) were obtained in 5388 face-to-face household interviews conducted between 1990 and 1992, and data from the NCS Replication were obtained in 4319 interviews conducted between 2001 and 2003. Anxiety disorders, mood disorders, and substance-abuse disorders that were present during the 12 months before the interview were diagnosed with the use of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV). Treatment for emotional disorders was categorized according to the sector of mental health services: psychiatry services, other mental health services, general medical services, human services, and complementary-alternative medical services.RESULTS:The prevalence of mental disorders did not change during the decade (29.4 percent between 1990 and 1992 and 30.5 percent between 2001 and 2003, P=0.52), but the rate of treatment increased. Among patients with a disorder, 20.3 percent received treatment between 1990 and 1992 and 32.9 percent received treatment between 2001 and 2003 (P