Prevalence of ICD-10 mental disorders in a catchment area in the city of Sao Paulo, Brazil
Prevalence of ICD-10 mental disorders in a catchment area in the city of Sao Paulo, Brazil
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DOI：
10.1007/s00127-002-0551-x
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发表时间：
2002-07-01
影响因子：
4.4
通讯作者：
Laurenti, R
中科院分区：
文献类型：
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作者：
Andrade, L;Walters, EE;Laurenti, R
本研究调查了巴西圣保罗市一家大型综合医院集水区18岁及以上人群的精神障碍患病率（终生、12个月、1个月）、与社会人口学特征的关系以及服务使用情况。方法在圣保罗市两个区对1464名18岁及以上的居民进行社区调查。采用CIDI 1.1进行精神病理学评估，根据ICD-10诊断心境障碍、焦虑障碍、非情感性精神病、物质使用障碍、分离性和躯体形式障碍、认知障碍。结果45.9%的人一生中至少有一次精神障碍的诊断，其中26.8%的人在访谈前一年，22.2%的人在访谈前一个月。最常见的障碍（分别为终生、12个月和1个月）是：尼古丁依赖（25%、11.4%、9.3%）、任何情绪障碍（18.5%、7.6%、5%），其中抑郁发作是最常见的情绪障碍（16.8%、7.1%、4.5%）、任何焦虑障碍（12.5%、7.7%、6%）、躯体形式障碍（6%、4.2%、3.2%）和酒精滥用/依赖（5.5%、4.5%、4%）。总体发病率无性别差异。排除物质使用障碍，女性患非精神病性疾病的风险更高。精神病诊断的存在增加了服务的使用，寻求专业精神护理的受试者比例很低。结论我们的研究结果证实了精神障碍在社区中的高患病率，与其他国家的调查结果相似。并与其他采用类似方法的研究结果进行了比较。
Background The prevalence (lifetime, 12-month, I-month) of mental disorders, their relationship with sociodemographic features, and the use of services were investigated in the population aged 18 years or older living in the catchment area of a large hospital complex in the city of Sao Paulo, Brazil. Methods A community survey was conducted in two boroughs of Sao Paulo, on 1,464 residents aged 18 years or older. The assessment of psychopathology was made by CIDI 1.1, yielding diagnoses according to ICD-10 for mood disorders, anxiety disorders, non-affective psychosis, substance use disorders, dissociative and somatoform disorders, and cognitive impairment. Results Of the total sample, 45.9% had at least one lifetime diagnosis of mental disorder, 26.8% in the year, and 22.2% in the month prior to interview. The most prevalent disorders (lifetime, 12-month, and 1-month, respectively) were: nicotine dependence (25%, 11.4%, 9.3%), any mood disorder (18.5%,7.6%,5%) with depressive episode the most prevalent mood disorder (16.8%,7.1%,4.5%),any anxiety-disorder (12.5%,7.7%,6%),somatoform-disorder (6%,4.2%,3.2%), and alcohol abuse/dependence (5.5%,4.5%,4%). No gender differences were found in overall morbidity. Excluding substance use disorders, women had a higher risk for non-psychotic disorders. The presence of psychiatric diagnosis increased the use of services, with a low proportion of subjects seeking specialty mental care. Conclusion Our results confirm the high prevalence of mental disorders in the community, similar to findings in other countries. A comparison with findings from other studies with similar methodology is made.