The de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services.
The de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services.
复制标题
事实上的美国精神和成瘾疾病服务系统。
DOI：
--
复制
发表时间：
1993
影响因子：
--
通讯作者：
F. Goodwin
中科院分区：
文献类型：
--
作者：
D. Regier;W. Narrow;D. Rae;R. Manderscheid;B. Locke;F. Goodwin
在对美国国家心理健康研究所流行病学责任区项目中的20291名成年人进行初步访谈之后，我们估算了美国人群中精神和成瘾性障碍的预期1年患病率以及服务使用率。这些障碍的年患病率为28.1%，其中1个月的时点患病率为15.7%（在第1次调查时），在第2次调查时发现12.3%的人群有新发病或复发病的1年发病率。在1年的随访期间，在第1次调查时被评估为既往无终生诊断的总样本中有6.6%出现了一种或多种新的障碍。另外，在第1次调查时有某种既往障碍病史的人群中，有5.7%在1年内急性复发或患上了一种新的障碍。不论诊断如何，1年内有14.7%的美国人群报告使用了事实上的美国精神和成瘾服务系统中一个或多个组成部分的服务。由于各部门之间存在一些重叠，精神和成瘾障碍专家为5.9%的美国人群提供了治疗，6.4%的人向全科医生寻求此类服务，3.0%的人向其他人类服务专业人员寻求这些服务，4.1%的人转向志愿支持部门寻求此类护理。在患有任何障碍的人群中，只有28.5%（每100人中有8.0人）寻求精神健康/成瘾服务。患有特定障碍的人使用服务的比例各不相同，从躯体化障碍、精神分裂症和双相情感障碍的60%以上到成瘾障碍和严重认知障碍的不足25%不等。在将决定国家卫生政策的其他变量的背景下，考虑了这些描述性数据在美国医疗保健系统改革方案中的应用。
After initial interviews with 20,291 adults in the National Institute of Mental Health Epidemiologic Catchment Area Program, we estimated prospective 1-year prevalence and service use rates of mental and addictive disorders in the US population. An annual prevalence rate of 28.1% was found for these disorders, composed of a 1-month point prevalence of 15.7% (at wave 1) and a 1-year incidence of new or recurrent disorders identified in 12.3% of the population at wave 2. During the 1-year follow-up period, 6.6% of the total sample developed one or more new disorders after being assessed as having no previous lifetime diagnosis at wave 1. An additional 5.7% of the population, with a history of some previous disorder at wave 1, had an acute relapse or suffered from a new disorder in 1 year. Irrespective of diagnosis, 14.7% of the US population in 1 year reported use of services in one or more component sectors of the de facto US mental and addictive service system. With some overlap between sectors, specialists in mental and addictive disorders provided treatment to 5.9% of the US population, 6.4% sought such services from general medical physicians, 3.0% sought these services from other human service professionals, and 4.1% turned to the voluntary support sector for such care. Of those persons with any disorder, only 28.5% (8.0 per 100 population) sought mental health/addictive services. Persons with specific disorders varied in the proportion who used services, from a high of more than 60% for somatization, schizophrenia, and bipolar disorders to a low of less than 25% for addictive disorders and severe cognitive impairment. Applications of these descriptive data to US health care system reform options are considered in the context of other variables that will determine national health policy.
DOI：
10.1001/jama.1992.03480110054033
发表时间：
1992-03
期刊：
JAMA
影响因子：
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作者：
James A. Johnson;M. Weissman;G. Klerman
通讯作者：
James A. Johnson;M. Weissman;G. Klerman
当前患有精神疾病的患者终生诊断和症状的可靠性。
影响因子：
4.8
作者：
Keller,MB;Lavori,PW;McDonald-Scott,P;Scheftner,WA;Andreasen,NC;Shapiro,RW;Croughan,J
通讯作者：
Croughan,J
私人健康保险中的典型心理健康福利。
DOI：
10.1377/hlthaff.11.3.98
发表时间：
1992
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Frank,RG;Goldman,HH;McGuire,TG
通讯作者：
McGuire,TG