A COMMUNITY STUDY OF MINOR PSYCHIATRIC MORBIDITY IN TAIWAN
A COMMUNITY STUDY OF MINOR PSYCHIATRIC MORBIDITY IN TAIWAN
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DOI：
10.1017/s0033291700009880
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发表时间：
1988-11-01
影响因子：
6.9
通讯作者：
CHENG, TA
中科院分区：
文献类型：
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作者：
CHENG, TA
摘要本研究以台湾地区农村（盐埔）、郊区（旗山）、都市（高雄）三个社区（各350人）15岁及以上之人口为样本，进行精神病轻度发病率之社区研究。采用两阶段病例发现策略，采用新开发并验证的筛查问卷（CHQ）和修改后的中文版临床访谈计划表（CIS-CV）。总有效率为99.4%，CHQ筛查与精神科医生进行的第二阶段临床访谈之间没有时间差。CHQ的加权有效性被认为是可以接受的（敏感性69.6%，特异性94.8%，错误分类率11.4%）。总体加权患病率男性为18.0%，女性为33.3%。CIS和CHQ数据均被用作MPM的发病率指标，以调查MPM的社会人口学危险因素。MPM的发病率占总发病率的92%，在线性模型分析后发现，35岁及以上的女性、失业男性和较低的社会经济地位与MPM的高风险相关。
A community study of minor psychiatric morbidity (MPM) was carried out on three population samples aged 15 and above randomly selected from rural (Yenpu), suburban (Chishan), and urban (Kaohsiung) communities (N = 350 for each) in Taiwan. A two-stage case finding strategy was applied with a newly developed and validated screening questionnaire (CHQ), and a modified Chinese version of the Clinical Interview Schedule (CIS-CV). The total response rate was 99·4% and there was no time lag between the CHQ screening and the second stage clinical interview conducted by a psychiatrist. The weighted validity of the CHQ was found to be acceptable (sensitivity 69·6%, specificity 94·8%, misclassification rate 11·4%). The overall weighted prevalence rate was 18·0% for men and 33·3% for women. Both the CIS and the CHQ data are used as the morbidity indices to investigate the sociodemographic risk factors of MPM. A higher risk of MPM, which occupied 92% of the total morbidity, was found to be associated with women aged 35 and above, the unemployed men, and the lower socioeconomic status after linear modelling.