Lifetime and 12-month prevalence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition disorders among older African Americans:: Findings from the national survey of American life
Lifetime and 12-month prevalence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition disorders among older African Americans:: Findings from the national survey of American life
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DOI：
10.1097/jgp.0b013e3180437d9e
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发表时间：
2007-08-01
影响因子：
7.2
通讯作者：
Jackson, James S.
中科院分区：
文献类型：
--
作者：
Ford, Briggett C.;Bullard, Kai McKeever;Jackson, James S.
本研究的目的是估计老年非裔美国人13种精神疾病的终生患病率和12个月患病率。方法：数据来自美国生活全国调查的老年非裔美国人子样本。检查了生活和12个月精神障碍诊断和统计手册，第四版（DSM-IV）精神障碍的选定测量（即，惊恐障碍、广场恐怖症、社交恐怖症、广泛性焦虑症、强迫症、创伤后应激障碍（PTSD）、严重抑郁症、心境恶劣、I型和II型双相障碍、酒精滥用/依赖和药物滥用/依赖）。结果：23%的老年非裔美国人报告至少有一种终身疾病，8.54%报告至少有一种12个月的疾病。酗酒、创伤后应激障碍和重性抑郁症是最常见的终身障碍。最常见的12个月的疾病是创伤后应激障碍，重性抑郁症和社交恐惧症。年龄、性别、教育程度和地区与终生疾病的几率显著相关。结论：这是第一个基于全国样本的老年非裔美国人严重精神障碍患病率的研究。讨论了疾病患病率的人口统计学相关性，重点是年龄和地区差异。
The purpose of this study was to estimate lifetime and 12-month prevalence of 13 psychiatric disorders for older African Americans. Methods: Data are from the older African American subsample of the National Survey of American Life. Selected measures of lifetime and 12-month Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) psychiatric disorders were examined (i.e., panic disorder, agoraphobia, social phobia, generalized anxiety disorder, obsessive compulsive disorder, posttraumatic stress disorder ( PTSD), major depressive disorder, dysthymia, bipolar I and II disorders, alcohol abuse/dependence, and drug abuse/dependence). Results: Twenty-three percent of older African Americans reported at least one lifetime disorder and 8.54% reported at least one 12-month disorder. Alcohol abuse, PTSD, and major depression were the most prevalent lifetime disorders. The most prevalent 12-month disorders were PTSD, major depression, and social phobia. Age, sex, education, and region were significantly associated with the odds of having a lifetime disorder. Conclusion: This is the first study of prevalence rates of serious mental disorders for older African Americans based on a national sample. Demographic correlates of the prevalence of disorders are discussed with an emphasis on age and regional differences.