Prevalence of DSM-IV Major Depression Among U.S. Military Personnel: Meta-Analysis and Simulation
Prevalence of DSM-IV Major Depression Among U.S. Military Personnel: Meta-Analysis and Simulation
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DOI：
10.7205/milmed-d-12-00103
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发表时间：
2012-08-01
影响因子：
1.2
通讯作者：
Kessler, Ronald C.
中科院分区：
文献类型：
--
作者：
Gadermann, Anne M.;Engel, Charles C.;Kessler, Ronald C.
一项对25项流行病学研究的荟萃分析估计了美国军人中最近精神疾病诊断和统计手册-IV（DSM-IV）重度抑郁症（MD）的患病率。最近患病率的最佳估计值（标准误）在目前部署的患者中为12.0%（1.2），在以前部署的患者中为13.1%（1.8），在从未部署的患者中为5.7%（1.2）。患病率的一致相关因素是女性，入伍，年轻（17-25岁），未婚，大学教育程度以下。来自全国一般人口调查的模拟数据被用来估计预期的终身患病率MD的受访者与社会人口学概况和没有入伍的军队人员的排除。在这个模拟样本中，16.2%（3.1）的受访者有终身MD和69.7%（8.5）的首次发病发生在预期的入伍年龄之前。许多方法学问题限制了荟萃分析和模拟的结果。文章最后讨论了在未来的监测和操作压力研究中纠正这些问题的建议。
A meta-analysis of 25 epidemiological studies estimated the prevalence of recent Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) major depression (MD) among U.S. military personnel. Best estimates of recent prevalence (standard error) were 12.0% (1.2) among currently deployed, 13.1% (1.8) among previously deployed, and 5.7% (1.2) among never deployed. Consistent correlates of prevalence were being female, enlisted, young (ages 17-25), unmarried, and having less than a college education. Simulation of data from a national general population survey was used to estimate expected lifetime prevalence of MD among respondents with the sociodemographic profile and none of the enlistment exclusions of Army personnel. In this simulated sample, 16.2% (3.1) of respondents had lifetime MD and 69.7% (8.5) of first onsets occurred before expected age of enlistment. Numerous methodological problems limit the results of the meta-analysis and simulation. The article closes with a discussion of recommendations for correcting these problems in future surveillance and operational stress studies.