The epidemiology of chronic major depressive disorder and dysthymic disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions.
The epidemiology of chronic major depressive disorder and dysthymic disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions.
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DOI：
10.4088/jcp.09m05663gry
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发表时间：
2010-12
期刊：
影响因子：
--
通讯作者：
Hasin DS
中科院分区：
文献类型：
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作者：
Blanco C;Okuda M;Markowitz JC;Liu SM;Grant BF;Hasin DS
为了考察慢性重度抑郁障碍(CMDD)和心境恶劣障碍(DD)的患病率，他们的社会人口学相关，12个月和终生精神疾病共病的模式，终身危险因素，心理社会功能和精神卫生服务利用。面对面访谈是在2001-2002年全国酒精及相关疾病流行病学调查中进行的(n=43,093)。CMDD的12个月和终生患病率(1.5%和3.1%)高于DD(0.5%和0.9%)。CMDD和DD患者共享大多数社会人口学相关因素和MDD的终生危险因素。CMDD和DD患者的Axis I和Axis II并存疾病的发生率几乎相同。然而，CMDD患者接受所有治疗方式的比率高于DD患者。CMDD和DD患者有许多社会人口学相关因素、共病模式、危险因素和病程。患有慢性抑郁症的人，特别是患有痴呆症的人，继续面临大量未得到满足的治疗需求。
To examine the prevalence of chronic major depressive disorder (CMDD) and dysthymic disorder (DD), their sociodemographic correlates, patterns of 12-month and lifetime psychiatric comorbidity, lifetime risk factors, psychosocial functioning, and mental health service utilization. Face-to-face interviews were conducted in the 2001–2002 National Epidemiologic Survey on Alcohol and Related Conditions (n = 43,093). The 12-month and lifetime prevalence were greater for CMDD (1.5% and 3.1%) than for DD (0.5% and 0.9%). Individuals with CMDD and DD shared most sociodemographic correlates and lifetime risk factors for MDD. Individuals with CMDD and DD had almost identically high rates of Axis I and Axis II comorbid disorders. However, individuals with CMDD received higher rates of all treatment modalities than individuals with DD. Individuals with CMDD and DD share many sociodemographic correlates, comorbidity patterns, risk factors, and course. Individuals with chronic depressive disorders, especially those with DD, continue to face substantial unmet treatment needs.