Prevalence of mental disorders in China: a cross-sectional epidemiological study
Prevalence of mental disorders in China: a cross-sectional epidemiological study
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DOI：
10.1016/s2215-0366(18)30511-x
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发表时间：
2019-03-01
影响因子：
64.3
通讯作者：
Wu, Yue
中科院分区：
文献类型：
--
作者：
Huang, Yueqin;Wang, Yu;Wu, Yue
中国精神卫生调查于2012年启动，旨在采用统一的方法进行全国代表性调查，调查中国精神障碍的患病率和服务使用情况，并分析其社会和心理危险因素或相关因素。方法采用横断面流行病学调查方法，对1998 ~ 2000年北京市精神疾病的患病率进行调查（情绪障碍、焦虑症、酒精使用和药物使用障碍、精神分裂症和其他精神障碍、进食障碍、冲动控制障碍，和痴呆症）在来自全国157个代表性人群的成年人的多阶段聚集区域概率样本中-中国31个省的疾病监测点。面对面的访谈是由受过训练的外行访谈者和精神科医生进行的，采用两阶段设计，包括复合国际诊断访谈、DSM-IV轴I障碍的结构化临床访谈、10/66痴呆诊断包中的痴呆社区筛查工具和老年精神状态检查。资料质量控制程序包括电脑逻辑检查、连续录音检查、质量控制员电话检查及精神科医师再访检查。数据进行加权，以调整选择和差分响应的差分概率，以及后分层的样本，以匹配人口distributions.Findings 32552受访者之间完成了调查，2013年7月22日，2015年3月5日。在访谈前的12个月内，任何疾病（不包括痴呆）的加权患病率为9.3%（95%CI 5.4-13.3），在访谈前参与者的整个生命周期内为16.6%（13.0-20.2）。焦虑障碍是最常见的障碍类别，在12个月前的采访（加权患病率5.0%，4.2-5.8）和一生（7.6%，6.3-8.8）。65岁及以上人群中痴呆症的加权患病率为5.6%（3.5-7.6）.解读2013年我国大部分精神障碍患病率高于1982年（点流行率1.1%，终生流行率1.3%），1993年（点流行率1.1%，终生流行率1.4%）和2002年（12个月流行率7.0%，终生流行率13.2%），但低于2009年（1个月流行率17.5%）。这项调查的证据带来了与已确定的高疾病负担相关的严重挑战，但也为政策制定者和医疗保健专业人员提供了探索和解决影响中国心理健康的因素的宝贵机会。版权所有（C）2019 Elsevier Ltd.保留所有权利。
Background The China Mental Health Survey was set up in 2012 to do a nationally representative survey with consistent methodology to investigate the prevalence of mental disorders and service use, and to analyse their social and psychological risk factors or correlates in China. This paper reports the prevalence findings.Methods We did a cross-sectional epidemiological survey of the prevalence of mental disorders (mood disorders, anxiety disorders, alcohol-use and drug-use disorders, schizophrenia and other psychotic disorders, eating disorder, impulse-control disorder, and dementia) in a multistage clustered-area probability sample of adults from 157 nationwide representative population-based disease surveillance points in 31 provinces across China. Face-to-face interviews were done with a two-stage design by trained lay interviewers and psychiatrists with the Composite International Diagnostic Interview, the Structured Clinical Interview for DSM-IV Axis I disorders, the Community Screening Instrument for Dementia from the 10/66 dementia diagnostic package, and the Geriatric Mental State Examination. Data-quality control procedures included logic check by computers, sequential recording check, and phone-call check by the quality controllers, and reinterview check by the psychiatrists. Data were weighted to adjust for differential probabilities of selection and differential response as well as to post-stratify the sample to match the population distribution.Findings 32552 respondents completed the survey between July 22, 2013, and March 5, 2015. The weighted prevalence of any disorder (excluding dementia) was 9.3% (95% CI 5.4-13.3) during the 12 months before the interview and 16.6% (13.0-20.2) during the participants' entire lifetime before the interview. Anxiety disorders were the most common class of disorders both in the 12 months before the interview (weighted prevalence 5.0%, 4.2-5.8) and in lifetime (7.6%, 6.3-8.8). The weighted prevalence of dementia in people aged 65 years or older was 5.6% (3.5-7.6).Interpretation The prevalence of most mental disorders in China in 2013 is higher than in 1982 (point prevalence 1.1% and lifetime prevalence 1.3%), 1993 (point prevalence 1.1% and lifetime prevalence 1.4%), and 2002 (12-month prevalence 7.0% and lifetime prevalence 13.2%), but lower than in 2009 (1-month prevalence 17.5%). The evidence from this survey poses serious challenges related to the high burdens of disease identified, but also offers valuable opportunities for policy makers and health-care professionals to explore and address the factors that affect mental health in China. Copyright (C) 2019 Elsevier Ltd. All rights reserved.