Prevalence of mental disorders in adult population attending primary health care setting in Qatari population.

Prevalence of mental disorders in adult population attending primary health care setting in Qatari population.
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卡塔尔人口初级卫生保健机构成年人中精神障碍的患病率。

DOI:
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发表时间:
2011
期刊:
JPMA. The Journal of the Pakistan Medical Association
影响因子:
--
通讯作者:
M. Abou
M. Abou
中科院分区:
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文献类型:
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作者:
S. Ghuloum;A. Bener;M. Abou

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目的 确定在初级保健机构就诊的卡塔尔人口中常见精神障碍的患病率,并确定高危人群。 方法 2009年7月至2009年12月,在卡塔尔国最高卫生理事会初级保健中心进行了一项前瞻性横断面研究。共有2080名18 - 65岁的卡塔尔受试者参与了本研究,其中1660名(79.8%)患者参与了本研究。本研究采用面对面访谈的方法,设计了一份诊断筛查问卷,其中包括79个问题,涉及各种常见精神障碍的症状和体征,如焦虑症、抑郁症、强迫症、恐怖症、人格障碍、双相障碍、痴呆、精神分裂症、酒精滥用和其他药物滥用。采用了标准的前后转换程序将调查表的英文本翻译成阿拉伯文。同时收集患者的社会人口学特征和病史。审查诊断筛查问卷,计算最终评分,确定临时诊断。医生通过进一步检查和筛查症状确定了明确的诊断。 结果 在所研究的卡塔尔受试者中,46.2%为男性,53.8%为女性。精神障碍的总患病率为36.6%。抑郁症(13.5%)是最常见的精神障碍,其次是焦虑症(10.3%)。卡塔尔妇女(55.6%,p=0.005)患常见精神障碍的风险明显高于男子(44.4%)。在与年龄的关系方面,抑郁症(42.9%)、焦虑症(43.3%)、强迫症(56.9%)、恐怖症(62%)、人格障碍(51.6%)和双相情感障碍(47.9%)在18 - 34岁的年轻人群中最常见。痴呆症的患病率最高见于50岁以上的人群(52.6%),但精神分裂症的患病率在35 - 49岁的年龄组(52.5%)。 结论 研究结果显示,在接受初级保健的卡塔尔成年人中,近四分之一的人至少患有一种精神障碍。高危人群是女性、年轻人和受过教育的人。卡塔尔人口中常见精神障碍患病率最高的是抑郁症和焦虑症。
OBJECTIVE To determine the prevalence of common mental disorders in Qatari population attending primary health care settings and identify the people at high risk. METHODS A prospective cross sectional study was conducted from July 2009 to December 2009 at the primary health care centers of the Supreme Council of Health, State of Qatar. A total of 2080 Qatari subjects aged 18 to 65 years were approached and 1660 (79.8%) patients particiapted in this study. The study was based on a face to face interview with a designed diagnostic screening questionnaire which contained 79 questions on symptoms and signs of of various common mental disorders such as Anxiety disorder, Depression, Obsessive-compulsive disorder, Phobia, personality disorder, Bipolar disorder, Dementia, Schizophrenia, Alcohol abuse and other drug abuse. A standard forward-backward procedure was applied to translate the English version of the questionnaire to Arabic. Also, Socio-demographic charecteristics and medical history of patients were collected. The Diagnostic screening quetionnaire was reviewed and the final score, calculated which determined a provisional diagnosis. Physicians determined the definitive diagnosis by further checking and screening the symptoms. RESULTS Of the studied Qatari subjects, 46.2% were males and 53.8% were females. The overall prevalence of mental disorders was 36.6%. Depression (13.5%) was the most common mental disorder, followed by anxiety disorders (10.3%). Qatari women (55.6%, p=0.005) were significantly at higher risk for common mental disorders compared to men (44.4%). Regarding their relationaships with age, Depression (42.9%), anxiety disorder (43.3%), obsessive compulsive disorder (56.9%), phobia (62%), personality disorder (51.6%) and bipolar disorder (47.9%) were found to be most common in the young population aged 18 - 34 years. The highest prevalence of Dementia was seen in the population above 50 years (52.6%), but schizophrenia was prevalent in the age group 35 - 49 years (52.5%). CONCLUSION The study findings revealed that the almost one-quarter of all Qatari adults who attended the primary health care setting presented with atleast one type of mental disorder. The high risk groups were females, younger age and education. The highest prevalence of common mental disorders in Qatari population was depression and anxiety disorder.
精神病流行病学:精选的最新进展和未来方向。
DOI: --
发表时间: 2000
影响因子: 11.1
作者:
Kessler,RC
通讯作者: Kessler,RC