The National Psychiatric Morbidity Surveys of Great Britain - strategy and methods
The National Psychiatric Morbidity Surveys of Great Britain - strategy and methods
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DOI：
10.1017/s003329179700531x
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发表时间：
1997-07-01
影响因子：
6.9
通讯作者：
Petticrew, M
中科院分区：
文献类型：
--
作者：
Jenkins, R;Bebbington, P;Petticrew, M
背景。本文描述了在英国进行的第一次全国精神病发病率调查的基本原理和方法。调查的目的是估计居住在英国的16-64岁成年人中精神疾病的患病率；确定与精神疾病相关的社交障碍的性质和程度；描述精神疾病患者对卫生和社会服务的使用情况，并调查家庭样本中精神疾病与潜在环境风险因素之间的关系。为了实现这些目标，进行了四次单独的调查；一个是私人家庭样本（N = 10108），一个是精神疾病护理机构样本（N = 1191），一个是无家可归者样本（N = 1166），另一个是生活在私人家庭的精神病患者样本（N = 350）。采用两阶段评估程序，其中所有受试者均接受经修订的临床访谈表（CIS-R），由非专业访谈者管理，以评估神经症状和障碍，并进行精神病筛查，包括精神病筛查问卷。那些在精神病筛查中呈阳性的人随后由精神科医生使用扫描（结合第十版状态检查）进行访谈。结论：像这样的大规模国家调查增加了常规可用的精神疾病发病率数据的不足，因此是制定政策和产生病原学假设的重要信息来源。这些调查为其他国家的类似调查提供了一个可能的模式。
Background. This paper describes the rationale and methodology of the first national psychiatric morbidity surveys to be carried out in Great Britain. The objectives of the surveys were to estimate the prevalence of psychiatric morbidity among adults aged 16-64 living in Great Britain; to identify the nature and extent of social disabilities associated with psychiatric morbidity; to describe the use of health and social services by people with psychiatric morbidity and to investigate the association between mental illness and potential environmental risk factors in a household sample.Methods. Four separate surveys were carried out in order to meet the objectives; a private household sample (N = 10108), a sample of institutions caring for the mentally ill (N = 1191), a sample of homeless people (N = 1166), and a supplementary sample of patients with psychosis living in private households (N = 350). A two-stage assessment procedure was used, in which all subjects were given the Revised Clinical Interview Schedule (CIS-R) administered by lay interviewers to assess neurotic symptoms and disorders and a psychosis screen, including the Psychosis Screening Questionnaire. Those who were positive on the psychosis screen were then interviewed by psychiatrists using the SCAN (incorporating the tenth edition of the Present State Examination).Conclusions, Large scale national surveys such as this augment the inadequate data on psychiatric morbidity that are routinely available and are, therefore, an important source of information upon which to base policy and generate aetiological hypotheses. These surveys provide a possible model for similar surveys in other countries.