The prevalence of psychiatric morbidity and its associated factors in general health care in Taiwan
The prevalence of psychiatric morbidity and its associated factors in general health care in Taiwan
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DOI：
10.1017/s0033291701005074
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发表时间：
2002-05-01
影响因子：
6.9
通讯作者：
Mann, A
中科院分区：
文献类型：
--
作者：
Liu, SI;Prince, M;Mann, A
背景。本文报告了台湾普通医疗保健人员中精神疾病患病率、残疾情况、社会人口统计学和临床关联，与其他非西方国家一样，台湾的研究很少。方法。在三个卫生站和一家综合医院的门诊进行了两阶段设计的横断面调查。结果。第一阶段共有 990 名患者完成了简短筛查，其中 486 名患者在第二阶段完成了独立评估。筛查阳性率为46.0%，明确精神疾病加权患病率为38.2%。常见的精神障碍与女性性别和失业有关。家庭主妇、学生和受教育程度较高的患者患酒精使用障碍的风险较低。患有常见精神障碍的患者更有可能出现心理主诉，将自己的疾病归因于社会心理原因，并认为自己的身心健康状况不佳。精神疾病发病率与过度的生活事件有关。常见的精神障碍，特别是抑郁症，与自我报告的残疾显着相关。结论。精神疾病发病率是台湾一般医疗保健中的一个主要健康问题。医生应该意识到这些健康问题。
Background. This paper reports the prevalence, disability, sociodemographic and clinical association of psychiatric morbidity among attenders in general health care in Taiwan where, as in the rest of non-Western countries, few studies have been carried out.Methods. A cross-sectional survey with a two-phase design was carried out at out-patient clinics of three health stations and a general hospital.Results. A total of 990 patients completed the brief screen in the first phase, 486 of whom completed the independent assessment in the second phase. The proportion of screening positives was 46.0% and the weighted prevalence of definite psychiatric disorder was 38.2%. Common mental disorders were associated with female gender and unemployment. Housewives, students and patients with higher educational attainment were at lower risk of having alcohol use disorders. Patients with common mental disorders were more likely to present with psychological complaints, to attribute their illness to psychosocial causes and to perceive their mental and physical health as poor. Psychiatric morbidity was associated with excess life events. Common mental disorders, particularly depressive disorders, were significantly associated with self-reported disability.Conclusions. Psychiatric morbidity is a major health problem in general health care in Taiwan. Physicians should be aware of these health problems.