Sex difference in the rates and co-occurring conditions of psychiatric symptoms in incoming college students in Taiwan

Sex difference in the rates and co-occurring conditions of psychiatric symptoms in incoming college students in Taiwan
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DOI:
10.1016/j.comppsych.2010.03.009
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发表时间:
2011-03-01
影响因子:
7.3
通讯作者:
Gadow, Kenneth D.
Gadow, Kenneth D.
中科院分区:
医学2区
文献类型:
--
作者:
Chien, Yi-Ling;Gau, Susan Shur-Fen;Gadow, Kenneth D.

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目的:本研究以台湾地区大学一年级新生为研究对象,探讨精神疾病诊断与统计手册第四版中精神疾病症状的发生率与共现模式的性别差异。参与者包括2731名即将入学的大学一年级学生(男性,52.4%;平均年龄,19.3 +/- 2.6岁)。参与者完成了中文版的成人自我报告量表-4,根据精神障碍诊断和统计手册第四版症状标准评估各种精神症状。结果:55%的被调查者至少有一种精神症状。广场恐怖症、身体畸形和性别认同障碍的症状在女性中更为普遍;强迫症、抽搐、行为问题、类人格和盗窃癖的症状在男性中更为普遍。强迫症与性别认同障碍、心境恶劣和反社会人格之间以及性别认同障碍与精神分裂症之间的症状相关性在男性参与者中显著更大,而行为问题与强迫症和运动性抽搐之间的症状相关性在女性参与者中显著更大。中文版的成人自评量表4发现了与西方研究相似的精神症状的性别差异。在共同发生的精神疾病的性别差异值得进一步调查。(C)2011 Elsevier Inc. All rights reserved.
Objective: The authors investigated the sex difference in the rates and co-occurring patterns in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition referenced psychiatric symptoms among incoming first-year college students in Taiwan.Methods: This was a college-based questionnaire survey. The participants included 273 1 incoming first-year college students (male, 52.4%; mean age, 19.3 +/- 2.6 years). The participants completed the Chinese version of the Adult Self Report Inventory-4 for the assessment of a wide range of psychiatric symptoms according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition symptom criteria. The participant rate was 74.1%.Results: There were 55% of the participants having at least one psychiatric symptom. Symptoms of agoraphobia, body dysmorphic, and gender identity disorder were more prevalent in women; those of obsession-compulsion, tics, conduct problems, schizoid personality, and kleptomania were more prevalent in men. The magnitude of symptom correlations between compulsion and gender identity disorder, dysthymia, and antisocial personality, and between gender identity disorder and schizophrenia was significantly greater in male participants, whereas that between conduct problems and obsession and motor tics was significantly greater in female participants.Conclusions: The Chinese version of the Adult Self Report Inventory-4 identified similar sex difference in psychiatric symptoms as Western studies. The sex difference in co-occurring psychiatric conditions warrants further investigation. (C) 2011 Elsevier Inc. All rights reserved.