Epidemiology of psychiatric and alcohol disorders in Ukraine - Findings from the Ukraine World Mental Health survey
Epidemiology of psychiatric and alcohol disorders in Ukraine - Findings from the Ukraine World Mental Health survey
复制标题
DOI：
10.1007/s00127-005-0927-9
复制
发表时间：
2005-09-01
影响因子：
4.4
通讯作者：
Schwartz, JE
中科院分区：
文献类型：
--
作者：
Bromet, EJ;Gluzman, SF;Schwartz, JE
背景这项研究提供了乌克兰9种精神疾病和酒精疾病的终生、12个月和1个月患病率估计，作为世界卫生组织（WHO）世界心理健康（WMH）研究计划的一部分进行评估。乌克兰WMH调查是第一个在前苏联国家进行的精神病学流行病学研究，对全国代表性样本进行结构化精神病学访谈。方法2002年，采用WMH版复合国际诊断访谈（WMH-CIDI）对4,725名年龄在18岁及以上的受访者进行了访谈。对患病率估计、发病年龄曲线、合并症、人口统计学和地理危险因素以及治疗寻求进行了研究。近三分之一的人在一生中至少经历过一次精神疾病诊断和统计手册第四版（DSM-IV），17.6%的人在过去一年中经历过一次发作，10.6%的人目前患有精神疾病。总体患病率没有性别差异。在男性中，最常见的诊断是酒精障碍（26.5%终身）和情绪障碍（9.7%终身）;在女性中，他们是情绪障碍（20.8%终身）和焦虑症（7.9%终身）。大多数疾病对的优势比是非常显着的。发病年龄主要在十几岁和二十出头。年龄，教育和生活在乌克兰东部地区是各种疾病的重要风险因素，50岁以上的受访者情绪障碍患病率最高，酗酒和间歇性爆炸性障碍患病率最低。只有少数受访者与专业人士谈论他们的症状。结论在乌克兰，男性酗酒和女性近期抑郁症的患病率估计高于欧洲可比调查。研究结果表明，有必要制定和实施教育计划，重点是识别和治疗精神和酒精障碍的一般人群，精神科医生和一般医疗服务提供者，谁是精神卫生保健的主要来源。
Background This study presents the lifetime, 12-month, and 1-month prevalence estimates of nine psychiatric and alcohol disorders in Ukraine assessed as part of the World Health Organization (WHO) World Mental Health (WMH) research program. The Ukraine WMH survey is the first psychiatric epidemiologic study in a former Soviet Union country to administer a structured psychiatric interview to a nationally representative sample. Method In 2002, a national probability sample of 4,725 respondents ages 18 and older were interviewed with the WMH versionof the Composite International Diagnostic Interview (WMH-CIDI). Prevalence estimates, age-of-onset curves, comorbidity, demographic and geographic risk factors, and treatment seeking were examined. Results Close to one third of the population experienced at least one Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) disorder in their lifetime, 17.6% experienced an episode in the past year, and 10.6% had a current disorder. There was no gender difference in the overall prevalence rates. In men, the most common diagnoses were alcohol disorders (26.5% lifetime) and mood disorders (9.7% lifetime); in women, they were mood disorders (20.8% lifetime) and anxiety disorders (7.9% lifetime). The odds ratios for most pairs of disorders were highly significant. Age of onset was primarily in the teens and early 20s. Age, education, and living in the Eastern region of Ukraine were significant risk factors across disorders, with respondents older than 50 years having the highest prevalence of mood disorder and the lowest prevalence of alcoholism and intermittent explosive disorder. Only a minority of respondents talked to a professional about their symptoms. Conclusion Prevalence estimates of alcoholism among men and recent depression among women were higher in Ukraine than in comparable European surveys. The results argue for the need to develop and implement educational programs focused on the recognition and treatment of mental and alcohol disorders for the general population, psychiatrists, and general medical providers, who are the main source of mental health care.