SEX AND DEPRESSION IN THE NATIONAL COMORBIDITY SURVEY .1. LIFETIME PREVALENCE, CHRONICITY AND RECURRENCE
SEX AND DEPRESSION IN THE NATIONAL COMORBIDITY SURVEY .1. LIFETIME PREVALENCE, CHRONICITY AND RECURRENCE
复制标题
DOI：
10.1016/0165-0327(93)90026-g
复制
发表时间：
1993-10-01
影响因子：
6.6
通讯作者：
NELSON, CB
中科院分区：
文献类型：
--
作者：
KESSLER, RC;MCGONAGLE, KA;NELSON, CB
基本的流行病学患病率数据的DSM-III-R重性抑郁发作（MDE）的性别差异。这些数据来自全国科摩罗调查（NCS），这是美国第一个对全国代表性的一般人群进行结构化精神病学访谈的调查。与先前的研究一致，女性报告MDE终身史的可能性约为男性的1.7倍。发病年龄分析表明，这种性别差异始于青春期早期，并持续到50年代中期。女性12个月抑郁症的发病率也比男性高得多。然而，有抑郁症史的女性与有抑郁症史的男性在过去一年中患慢性抑郁症的概率或在过去一年中急性复发的概率方面没有差异。这意味着，女性12个月抑郁症的患病率高于男性，主要是由于女性首次发病的风险较高。这些结果对未来研究的影响进行了讨论，在论文的最后一节。
Basic epidemiologic prevalence data are presented on sex differences in DSM-III-R major depressive episodes (MDE). The data come from the National Comorbidity Survey (NCS), the first survey in the U.S. to administer a structured psychiatric interview to a nationally representative sample of the general population. Consistent with previous research, women are approximately 1.7 times as likely as men to report a lifetime history of MDE. Age of onset analysis shows that this sex difference begins in early adolescence and persists through the mid-50s. Women also have a much higher rate of 12-month depression than men. However, women with a history of depression do not differ from men with a history of depression in either the probability of being chronically depressed in the past year or in the probability of having an acute recurrence in the past year. This means that the higher prevalence of 12-month depression among women than men is largely due to women having a higher risk of first onset. The implications of these results for future research are discussed in a closing section of the paper.