Epidemiology of recurrent major and minor depression with a seasonal pattern - The National Comorbidity Survey
Epidemiology of recurrent major and minor depression with a seasonal pattern - The National Comorbidity Survey
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DOI：
10.1192/bjp.172.2.164
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发表时间：
1998-02-01
影响因子：
10.5
通讯作者：
Swartz, MS
中科院分区：
文献类型：
--
作者：
Blazer, DG;Kessler, RC;Swartz, MS
背景以前的估计流行的季节性情感障碍（SAD）在社区样本的范围为2- 10%，使用的方法不是来自DSM算法。我们报告了第一个以社区为基础的研究，以估计重，轻抑郁症的季节性模式，在以社区为基础的样本，使用诊断工具，从DSM-III-R。方法一个修改后的版本的复合国际诊断访谈，管理8098名受试者在48个相连的美国州（全国科摩罗调查）评估季节性模式的重性抑郁症和轻性抑郁症的患病率。结果季节性模式的重性抑郁症的终生患病率为0.4%，季节性重、轻抑郁症患病率为1.0%。在受访者与抑郁症，男性性别和年龄较大的是与较高的患病率与季节性pattern.Conclusions流行率估计的主要和轻微的抑郁症的季节性模式是远远低于那些发现在以前的研究SAD在社区，可能是由于在本研究中使用的诊断方法，这更准确地代表了DSM-III-R标准的季节性模式。除了男性患病率较高外，这种疾病的分布与以往研究中发现的相似。
Background Previous estimates of the prevalence of seasonal affective disorder (SAD) in community samples have been in the range 2-10%, using methods not derived from DSM algorithms. We report the first community-based study to estimate major and minor depression with a seasonal pattern in a community-based sample using a diagnostic instrument derived from DSM-III-R.Method A modified version of the Composite International Diagnostic Interview was administered to 8098 subjects in the 48 coterminous states of the USA (the National Comorbidity Survey) to assess the prevalence of major and minor depression with a seasonal pattern.Results The lifetime prevalence of major depression with a seasonal pattern was 0.4%, and the prevalence of major or minor depression with a seasonal pattern was 1.0%. Among respondents with major depression, male gender and older age were associated with a higher prevalence with a seasonal pattern.Conclusions Prevalence estimates of major and minor depression with a seasonal pattern are much lower than those found in previous studies of SAD in the community, probably due to the approach to diagnosis used in the present study, which more accurately represents DSM-III-R criteria for major depression with a seasonal pattern. The distribution of the disorder is similar to that found in previous studies except for the higher prevalence among males.