Depression and Anxiety Disorders and Associated Factors in the Adolescent Colombian Population, 2015 National Mental Health Survey
Depression and Anxiety Disorders and Associated Factors in the Adolescent Colombian Population, 2015 National Mental Health Survey
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DOI：
10.1016/j.rcp.2016.09.009
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发表时间：
2016-12-01
期刊：
影响因子：
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通讯作者：
Medina Rico, Mauricio
中科院分区：
文献类型：
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作者：
Gómez-Restrepo, Carlos;Bohórquez, Adriana;Medina Rico, Mauricio
导言：在过去的一年里，青少年精神障碍的患病率为17%。这些疾病往往是慢性的，在这个年龄段出现的患者比成年患者预后更差。目的：了解抑郁症和焦虑症的患病率和心理因素。使用计算机辅助个人访谈-综合国际诊断访谈-青少年版(CAPI-CIDI-A)进行了一项结构化的计算机化调查，重点关注最常见的抑郁症和焦虑症。研究对象为1754名12-17岁的青少年。结果：在人生的某个阶段，任何疾病的患病率为7.2%(95%可信区间，5.8-8.9)。最常见的障碍对应于在生活中的某些时候表现出的社交恐惧症，4.8%(95%CI，3.7-6.2)。较不常见的是女孩的惊恐障碍(0.2%；95%的可信区间，0.1-1.0)和男孩的其他双相情感障碍(0.2%；95%的可信区间，0.1-0.7)。女性(OR=2.1)、家庭支持少(OR=2.0)、经历过至少一次创伤事件(OR=2.6)、有过自杀未遂(OR=3.4)是患任何精神障碍的相关因素。参加至少一个团体是保护性因素(OR=0.5)。结论：焦虑和抑郁精神障碍是哥伦比亚疾病的主要负担。
INTRODUCTION: There was a prevalence of mental disorders of 17% in adolescents in the past year. These tended to be chronic and their appearance at this age is associated with a worse prognosis than those in adulthood.OBJECTIVES: To determine the prevalence and mental factors associated with major depression and anxiety disorders.METHODS: Data were obtained from the IV National Mental Health Survey representing 5 regions. A structured computerised survey was conducted using the Computer Assisted Personal Interview-Composite International Diagnostic Interview-Adolescent Version (CAPI-CIDI-A), focused on the most common depression and anxiety disorders. It included a sample of 1754 adolescents between 12 and 17 years old.RESULTS: The prevalence of any disorder at some point in life was 7.2% (95%CI, 5.8-8.9). The most common disorder corresponded to social phobia manifested sometime in life in 4.8% (95%CI, 3.7-6.2). Less frequent were panic disorder in girls (0.2%; 95% CI, 0.1-1.0) and other bipolar disorders in boys (0.2%; 95%CI, 0.1-0.7). Among the associated factors of suffering from any disorder were, being female (OR=2.1), having little family support (OR=2.0), having witnessed at least one traumatic event (OR=2.6), and having had a previous suicide attempt (OR=3.4). Participation in at least one group was a protective factor (OR=0.5).CONCLUSIONS: Mental disorders of anxiety and depression represent a major burden of disease for Colombia.