DSM-IV generalized anxiety disorder in the Australian National Survey of Mental Health and Well-Being
DSM-IV generalized anxiety disorder in the Australian National Survey of Mental Health and Well-Being
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DOI：
10.1017/s0033291702005512
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发表时间：
2002-05-01
影响因子：
6.9
通讯作者：
Andrews, G
中科院分区：
文献类型：
--
作者：
Hunt, C;Issakidis, C;Andrews, G
背景。本文报道了来自澳大利亚国家心理健康和幸福调查的DSM-IV广泛性焦虑障碍的人口数据。这些数据来自一项全国范围内的成人家庭调查，采用分层多阶段抽样方法。回应率为78.1%，共访问10641人。采用复合国际诊断访谈法进行诊断。访谈采用电脑操作，由训练有素的外行访谈人员进行。1个月GAD的患病率为2.8%，12个月GAD的患病率为3.6%。55岁以上的人患广泛性焦虑症的可能性低于年轻人群。逻辑回归分析还显示，广泛性焦虑症的诊断与年轻到中年、分居、离婚或丧偶、没有高等教育学历或失业密切相关。与另一种情感、焦虑、物质使用或人格障碍合并症很常见，影响了68%患有1个月DSM-IV GAD的样本。广泛性焦虑症与严重的残疾有关，在DSM-IV版广泛性焦虑症的样本中，有57%的人在前三个月内曾因精神健康问题咨询过健康专家。该调查提供了DSM-IV版广泛性焦虑症及其相关因素的人口数据。广泛性焦虑症是一种常见的疾病，伴随着显著的发病率和高发病率的情感性和焦虑症，与婚姻状况、教育、就业状况有关，但与性别无关。与以前的人口调查相比，DSM-IV诊断标准的改变似乎没有影响患病率。
Background. This paper reports population data on DSM-IV generalized anxiety disorder from the Australian National Survey of Mental Health and Well-Being.Methods. The data were obtained from a nationwide household survey of adults using a stratified multi-stage sampling process. A response rate of 78.1% resulted in 10641 persons being interviewed. Diagnoses were made using the Composite International Diagnostic Interview. The interview was computerized and conducted by trained lay interviewers.Results. Prevalence in the total sample was 2.8% for 1-month GAD and 3.6% for 12-month GAD. Persons over 55 years of age were less likely to have GAD than those in the younger age groups. Logistic regression analysis also showed that a diagnosis of GAD was significantly associated with being of younger to middle age, being separated divorced or widowed, not having tertiary qualifications or being unemployed. Co-morbidity with another affective, anxiety, substance use or personality disorders was common, affecting 68% of the sample with 1-month DSM-IV GAD. GAD was associated with significant disablement, and 57% of the sample with DSM-IV GAD had consulted a health professional for a mental health problem in the prior III months.Conclusions. The survey provides population data on DSM-IV GAD and its correlates. GAD is a common disorder that is accompanied by significant morbidity and high rates of co-morbidity with affective and anxiety disorders, and is associated with marital status, education, employment status, but not sex. Changes to DSM-IV diagnostic criteria did not appear to affect the prevalence rate compared to previous population surveys.