Epidemiological survey of mental disorders in the people aged 18 and older in Hebei Province
Epidemiological survey of mental disorders in the people aged 18 and older in Hebei Province
复制标题
DOI：
10.1016/j.ajp.2008.09.010
复制
发表时间：
2008-12-01
影响因子：
9.5
通讯作者：
Zhao Enyi
中科院分区：
文献类型：
--
作者：
Li Keqing;Cui Ze;Zhao Enyi
目的：了解河北省各类精神障碍的时间点患病率和分布情况。方法：2004年10月至2005年3月，采用分层多阶段整群随机化方法，抽取河北省18岁以上人群2.4万人。使用一般健康问卷（GHQ-12）的扩展版本来识别患有精神障碍的高、中和低风险的受试者亚组，然后精神科医生通过采用精神障碍诊断和统计手册（DSMIV）进行结构化精神病学检查（SCID）来确定他们的诊断。结果：（1）20716名受试者完成了筛查。精神障碍总体时间点发生率为16.24%（95% CI = 15.8-16.7%）。重度抑郁症（2.70%）、未特指焦虑症（2.51%）和心境恶劣障碍（2.31%）占据前列。精神障碍的总体终生患病率为 18.51% (95% CI = 18.0-19.0%)。重度抑郁症（4.75%）、酒精依赖和滥用障碍（3.86%）和未特指抑郁症（2.55%）占据前列。 (2)时间点患病率：农村(16.65%)精神障碍总体患病率高于城市(14.43%)，女性(16.79%)明显高于男性(15.70%)，P < 0.05～0.01。随着年龄的增长，患病率逐渐升高。其中30-49岁占137.17-156.71%，≥50占20.14-28.54%。结论：通过调查，了解了河北省各类精神障碍的流行时间点和分布特点，为精神障碍的防治提供科学依据。 (C) 2008 Elsevier B.V.。保留所有权利。
Objective: To describe the time point prevalence and distribution of all types of mental disorders in Hebei Province.Methods: From October 2004 to March 2005, stratified multi-stage cluster randomization was used to identify 24,000 subjects >= 18 years of age in Hebei Province. An expanded version of the General Health Questionnaire (GHQ-12) was used to identify subgroups of subjects at high, moderate and low risk of having a mental disorder, then psychiatrists determined their diagnoses by administering a structured psychiatric examination (SCID) that employs Diagnostic and Statistical Manual of Mental Disorder (DSMIV).Results: (1) Twenty thousand seven hundred and sixteen subjects completed the screening. The overall time point rate ofmental disorders was 16.24% (95% CI = 15.8-16.7%). Major depressive disorder (2.70%), unspecified anxiety disorders (2.51%) and dysthymic disorders (2.31%) occupied the preceding positions. The overall life-time prevalence of mental disorders was 18.51% (95% CI = 18.0-19.0%). Major depressive disorder (4.75%), alcohol dependence and abuse disorders (3.86%) and unspecified depressive disorder (2.55%) occupied the preceding positions. (2) The time point prevalence: the overall prevalence ofmental disorders was higher in rural (16.65%) than in urban areas (14.43%) and obviously higher in women (16.79%) than in men (15.70%), P < 0.05-0.01. Accompanied with the age growth, the prevalence goes up. Among the total, 30-49 was 137.17-156.71%, >= 50 was 20.14-28.54%.Conclusions: Through the investigation, we have kept abreast of the time point prevalence and the characteristic of distribution of all types of mental disorders in Hebei Province, and provide scientific basis for the prevention and treatment of mental disorders. (C) 2008 Elsevier B.V.. All rights reserved.