The cross-national epidemiology of panic disorder.
The cross-national epidemiology of panic disorder.
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DOI：
10.1001/archpsyc.1997.01830160021003
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发表时间：
1997-04
影响因子：
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通讯作者：
Myrna M. Weissman;R. Bland;G. Canino;C. Faravelli;S. Greenwald;H. Hwu;P. Joyce;E. Karam;Chung‐Kyoon Lee;J. Lellouch;J. Lépine;S. Newman;M. Oakley-Browne;M. Rubio‐Stipec;J. Wells;P. Wickramaratne;H. Wittchen;E. Yeh
中科院分区：
文献类型：
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作者：
Myrna M. Weissman;R. Bland;G. Canino;C. Faravelli;S. Greenwald;H. Hwu;P. Joyce;E. Karam;Chung‐Kyoon Lee;J. Lellouch;J. Lépine;S. Newman;M. Oakley-Browne;M. Rubio‐Stipec;J. Wells;P. Wickramaratne;H. Wittchen;E. Yeh
背景来自全球10个国家的社区研究提供了有关惊恐障碍的流行病学数据，以确定不同文化之间的研究结果的一致性。方法对来自10个国家(美国、加拿大、波多黎各、法国、西德、意大利、黎巴嫩、台湾、韩国和新西兰)的独立进行的社区调查，使用诊断性访谈程序和DSM-III标准，对来自不同国家的40,000多名受试者的年龄和性别差异进行适当的标准化分析。结果艾伯塔省埃德蒙顿的惊恐障碍终生患病率为1.4/100，意大利佛罗伦萨为2.9/100，台湾除外，大多数精神障碍患病率较低，为0.4/100。首次发病的平均年龄通常在成年期的早期到中期。在所有国家，女性的这一比例都高于男性。在所有国家，恐慌症都与广场恐惧症和严重抑郁症的风险增加有关。结论惊恐障碍在不同国家的发病率和模式是相对一致的，只有少数例外。目前尚不清楚为什么台湾的恐慌和其他精神疾病的发生率较低。
BACKGROUND Epidemiological data on panic disorder from community studies from 10 countries around the world are presented to determine the consistency of findings across diverse cultures. METHOD Data from independently conducted community surveys from 10 countries (the United States, Canada, Puerto Rico, France, West Germany, Italy, Lebanon, Taiwan, Korea, and New Zealand), using the Diagnostic Interview Schedule and DSM-III criteria and including over 40,000 subjects, were analyzed with appropriate standardization for age and sex differences among subjects from different countries. RESULTS The lifetime prevalence rates for panic disorder ranged from 1.4 per 100 in Edmonton, Alberta, to 2.9 per 100 in Florence, Italy, with the exception of that in Taiwan, 0.4 per 100, where rates for most psychiatric disorders are low. Mean age at first onset was usually in early to middle adulthood. The rates were higher in female than male subjects in all countries. Panic disorder was associated with an increased risk of agoraphobia and major depression in all countries. CONCLUSIONS Panic disorder is relatively consistent, with a few exceptions, in rates and patterns across different countries. It is unclear why the rates of panic and other psychiatric disorders are lower in Taiwan.