中国心理卫生杂志
中國心理衛生雜誌
중국심리위생잡지
CHINESE MENTAL HEALTH JOURNAL
2010年
3期
183-190
,共8页
丁志杰%王刚平%裴根祥%管让成%何蕊芳%费立鹏%李献云%张永录%汪东明%洪责子%杜鹤宇%白爱萍%李刚%王小全%魏长礼%李宏%王军
丁誌傑%王剛平%裴根祥%管讓成%何蕊芳%費立鵬%李獻雲%張永錄%汪東明%洪責子%杜鶴宇%白愛萍%李剛%王小全%魏長禮%李宏%王軍
정지걸%왕강평%배근상%관양성%하예방%비립붕%리헌운%장영록%왕동명%홍책자%두학우%백애평%리강%왕소전%위장례%리굉%왕군
精神障碍%患病率%甘肃省%现况调查
精神障礙%患病率%甘肅省%現況調查
정신장애%환병솔%감숙성%현황조사
mental disorders%prevalence%Gansu Province%cross-sectional study
目的:了解甘肃省天水市成年人群精神障碍的患病率及分布特点.方法:采用多阶段分层整群抽样方法随机抽取甘肃省天水市≥18岁人群11359人为调查对象,用扩展的一般健康问卷(GHQ-12)进行筛查,将调查对象分为精神障碍高、中、低危险3组,然后用美国精神障碍诊断与统计手册(DSM-Ⅳ)轴Ⅰ障碍定式临床检查患者版对3组人群进行诊断检查.将计算出的患病率进行调整并推广至天水230万成年人口.结果:10249人完成调查,调整后精神障碍总的现患率(最近1个月)为17.90%(95% CI为15.72%～20.32%);患病率前三位分别是酒精使用障碍(3.16%)、重性抑郁障碍(2.73%)和未特定焦虑障碍(2.67%).男性精神障碍总的现患率为15.85%,女性为20.08%;农村为17.33%,城市为20.59%;男女、农村与城市之间精神障碍总的现患率差异无统计学意义[OR(95% CI)分别为0.75(0.52～1.07)和0.81(0.57～1.15)],但酒精使用障碍男性的现患率高于女性(6.00% vs.0.14%,OR=45.59,95% CI:17.98～115.57),农村居民低于城市居民(2.43% vs.6.57%,OR=0.35,95% CI:0.15～0.85).在有精神障碍的人群中,功能损害程度为中等到严重者占37.10%,但仅8.58%的患者曾经因心理问题在医疗机构就诊,并且仅5.29%曾经就诊于精神科.结论:甘肃省天水市精神障碍的患病率较高.酒精使用障碍和重性抑郁是特别需要关注的问题.
目的:瞭解甘肅省天水市成年人群精神障礙的患病率及分佈特點.方法:採用多階段分層整群抽樣方法隨機抽取甘肅省天水市≥18歲人群11359人為調查對象,用擴展的一般健康問捲(GHQ-12)進行篩查,將調查對象分為精神障礙高、中、低危險3組,然後用美國精神障礙診斷與統計手冊(DSM-Ⅳ)軸Ⅰ障礙定式臨床檢查患者版對3組人群進行診斷檢查.將計算齣的患病率進行調整併推廣至天水230萬成年人口.結果:10249人完成調查,調整後精神障礙總的現患率(最近1箇月)為17.90%(95% CI為15.72%～20.32%);患病率前三位分彆是酒精使用障礙(3.16%)、重性抑鬱障礙(2.73%)和未特定焦慮障礙(2.67%).男性精神障礙總的現患率為15.85%,女性為20.08%;農村為17.33%,城市為20.59%;男女、農村與城市之間精神障礙總的現患率差異無統計學意義[OR(95% CI)分彆為0.75(0.52～1.07)和0.81(0.57～1.15)],但酒精使用障礙男性的現患率高于女性(6.00% vs.0.14%,OR=45.59,95% CI:17.98～115.57),農村居民低于城市居民(2.43% vs.6.57%,OR=0.35,95% CI:0.15～0.85).在有精神障礙的人群中,功能損害程度為中等到嚴重者佔37.10%,但僅8.58%的患者曾經因心理問題在醫療機構就診,併且僅5.29%曾經就診于精神科.結論:甘肅省天水市精神障礙的患病率較高.酒精使用障礙和重性抑鬱是特彆需要關註的問題.
목적:료해감숙성천수시성년인군정신장애적환병솔급분포특점.방법:채용다계단분층정군추양방법수궤추취감숙성천수시≥18세인군11359인위조사대상,용확전적일반건강문권(GHQ-12)진행사사,장조사대상분위정신장애고、중、저위험3조,연후용미국정신장애진단여통계수책(DSM-Ⅳ)축Ⅰ장애정식림상검사환자판대3조인군진행진단검사.장계산출적환병솔진행조정병추엄지천수230만성년인구.결과:10249인완성조사,조정후정신장애총적현환솔(최근1개월)위17.90%(95% CI위15.72%～20.32%);환병솔전삼위분별시주정사용장애(3.16%)、중성억욱장애(2.73%)화미특정초필장애(2.67%).남성정신장애총적현환솔위15.85%,녀성위20.08%;농촌위17.33%,성시위20.59%;남녀、농촌여성시지간정신장애총적현환솔차이무통계학의의[OR(95% CI)분별위0.75(0.52～1.07)화0.81(0.57～1.15)],단주정사용장애남성적현환솔고우녀성(6.00% vs.0.14%,OR=45.59,95% CI:17.98～115.57),농촌거민저우성시거민(2.43% vs.6.57%,OR=0.35,95% CI:0.15～0.85).재유정신장애적인군중,공능손해정도위중등도엄중자점37.10%,단부8.58%적환자증경인심리문제재의료궤구취진,병차부5.29%증경취진우정신과.결론:감숙성천수시정신장애적환병솔교고.주정사용장애화중성억욱시특별수요관주적문제.
Objective: To describe the prevalence and distribution of mental disorders among adults in the Tianshui City of Gansu Province. Methods: Using multi-stage stratified cluster sampling, 11359 subjects aged 18 or older were identified in Tianshui City. The subjects were screened with the expanded version of General Health Questionnaire (GHQ-12) and classified as high, moderate or low risk of having a mental disorder based on the results. Different proportions of the three groups were assessed with the Structured Clinical Interview for DSM-Ⅳ-TR (SCID-I/P) . Estimated prevalence rates were adjusted to represent the sampling frame of 2. 3 million adults. Re-suits: Totally 10249 subjects completed the survey. The adjusted current prevalence of any mental disorder was 17.90% (95% CI: 15.72% ～20.23%) . The three most prevalence specific disorders were alcohol use disorder (3.16%), major depressive disorder (2.73%) and' not otherwise specified' (NOS) anxiety disorder (2.67%) . The current prevalence of any mental disorder was 15. 85% in males, 20.08% in females, 17. 33% in rural residents, and 20.59% in urban residents. The male-female and rural-urban differences in overall rates were not statistically significant [OR =0.75, 95% CI (0.52～1.07); 0.81 (0.57～1.15)], but alcohol use disorder was significantly more prevalent in men than in women (6.00% vs. 0.14% , OR =45.59, 95% CI: 17.98 ～ 115.57) and less prevalent in rural residents than urban residents (2.43% vs. 6. 57%, OR =0.35, 95% CI: 0.15 ～ 0. 85) . Among those with a disorder, 37.10% were moderately to severely affected due to the disorder but only 8. 58% had ever received any type of medical treatment and only 5. 29% had ever received mental health treatment Conclusion: The prevalence of mental disorders is high in the Tianshui City of Gansu Province. Alcohol use disorder and major depressive disorder are conditions that deserve special attentioa.
