Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication
Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication
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DOI：
10.1001/archpsyc.62.6.617
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发表时间：
2005-06-01
影响因子：
--
通讯作者：
Walters, EE
中科院分区：
文献类型：
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作者：
Kessler, RC;Chiu, WT;Walters, EE
背景资料：DSM-IV精神障碍的一般人群患病率或严重程度知之甚少。目的：在最近完成的美国全国科摩罗调查重复中，估计12个月的患病率、严重程度和DSM-IV焦虑、情绪、冲动控制和物质障碍的合并症。设计和设置：在2001年2月至2003年4月期间，利用结构完整的诊断性访谈进行了具有全国代表性的面对面住户调查，世界卫生组织世界心理健康调查倡议版本的复合国际诊断访谈。参与者：9282名18岁及以上的英语受访者。主要结果测量：12个月的DSM-IV障碍。结果：两个月的患病率估计为焦虑，18.1%;情绪，9.5%;冲动控制，8.9%;物质，3.8%;和任何障碍，26.2%。在12个月病例中，22.3%被归类为严重; 37.3%为中度; 40.4%为轻度。55%的患者只有一个诊断; 22%，2个诊断; 23%，3个或更多诊断。潜在的类分析检测到7个多变量的障碍类，包括3个高度共病类占7%的population.Conclusion：虽然精神障碍是广泛的，严重的情况下，集中在一个相对较小的比例，高共病的情况下。
Background: Little is known about the general population prevalence or severity of DSM-IV mental disorders.Objective: To estimate 12-month prevalence, severity, and comorbidity of DSM-IV anxiety, mood, impulse con trol, and substance disorders in the recently completed US National Comorbidity Survey Replication.Design and Setting: Nationally representative face-to-face household survey conducted between February 2001 and April 2003 using a fully structured diagnostic inter-view, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview.Participants: Nine thousand two hundred eighty-two English-speaking respondents 18 years and older.Main Outcome Measures: Twelve-month DSM-IV disorders.Results: Twelve-month prevalence estimates were anxiety, 18.1%; mood, 9.5%; impulse control, 8.9%; substance, 3.8%; and any disorder, 26.2%. Of 12-month cases, 22.3% were classified as serious; 37.3%, moderate; and 40.4%, mild. Fifty-five percent carried only a single diagnosis; 22%, 2 diagnoses; and 23%, 3 or more diagnoses. Latent class analysis detected 7 multivariate disorder classes, including 3 highly comorbid classes representing 7% of the population.Conclusion: Although mental disorders are widespread, serious cases are concentrated among a relatively small proportion of cases with high comorbidity.