中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2010年
4期
211-216
,共6页
段卫东%刘铁榜%胡赤怡%高欢%胡纪泽%张翔%唐卓如%陆亚文%张繁新%杨洪%金冬%林雄标%杨孔军%舒明跃%张毅宏%沈其杰
段衛東%劉鐵榜%鬍赤怡%高歡%鬍紀澤%張翔%唐卓如%陸亞文%張繁新%楊洪%金鼕%林雄標%楊孔軍%舒明躍%張毅宏%瀋其傑
단위동%류철방%호적이%고환%호기택%장상%당탁여%륙아문%장번신%양홍%금동%림웅표%양공군%서명약%장의굉%침기걸
抑郁症%患病率%流行病学方法
抑鬱癥%患病率%流行病學方法
억욱증%환병솔%류행병학방법
Depressive disorder%Prevalence%Epidemiologic methods
目的 了解深圳市≥18岁人群抑郁障碍的患病率和分布特点.方法 以世界卫生组织-世界精神健康联盟(WHO-WMH)提供的复合性国际诊断访谈表(CIDI3.1)为访谈工具,采用多阶段分层随机抽样方法对7134人进行面对面调查.结果 (1)加权终生患病率:为7.74%;重型抑郁、轻微抑郁和恶劣心境分别为6.19%、1.28%和0.27%;女性高于男性[8.78%∶6.75%,比值比(OR)=1.33,95%可信区间(95% CI)=1.12～1.58,P＜0.01].(2)加权12个月患病率:为3.67%,女性高于男性(3.89%∶3.01%,OR=1.30,95% CI=1.01～1.68,P＜0.05).(3)加权30 d患病率:为1.45%,女性高于男性(1.85%∶0.97%,OR=1.93,95% CI=1. 27～2.91,P＜0.01).(4)共病率:为40.14%,共病的主要类型为强迫症(15.73%)、焦虑症(14.65%)和恐惧症(13.38%).(5)患病率及病情严重程度与性别、年龄、婚姻状况、文化程度和经济状况等因素有关,年龄24～29岁和30～34岁人群的终生患病率明显高于年龄18～23岁者,同居者和独居者患病率高于已婚者,受教育年限≥13年者患病率明显高于0～6年者,家庭收入高者患病率明显高于家庭收入低者.结论 抑郁障碍已经成为深圳市人群的常见病,具有发病年龄小、共病率高和就诊率低的特点.
目的 瞭解深圳市≥18歲人群抑鬱障礙的患病率和分佈特點.方法 以世界衛生組織-世界精神健康聯盟(WHO-WMH)提供的複閤性國際診斷訪談錶(CIDI3.1)為訪談工具,採用多階段分層隨機抽樣方法對7134人進行麵對麵調查.結果 (1)加權終生患病率:為7.74%;重型抑鬱、輕微抑鬱和噁劣心境分彆為6.19%、1.28%和0.27%;女性高于男性[8.78%∶6.75%,比值比(OR)=1.33,95%可信區間(95% CI)=1.12～1.58,P＜0.01].(2)加權12箇月患病率:為3.67%,女性高于男性(3.89%∶3.01%,OR=1.30,95% CI=1.01～1.68,P＜0.05).(3)加權30 d患病率:為1.45%,女性高于男性(1.85%∶0.97%,OR=1.93,95% CI=1. 27～2.91,P＜0.01).(4)共病率:為40.14%,共病的主要類型為彊迫癥(15.73%)、焦慮癥(14.65%)和恐懼癥(13.38%).(5)患病率及病情嚴重程度與性彆、年齡、婚姻狀況、文化程度和經濟狀況等因素有關,年齡24～29歲和30～34歲人群的終生患病率明顯高于年齡18～23歲者,同居者和獨居者患病率高于已婚者,受教育年限≥13年者患病率明顯高于0～6年者,傢庭收入高者患病率明顯高于傢庭收入低者.結論 抑鬱障礙已經成為深圳市人群的常見病,具有髮病年齡小、共病率高和就診率低的特點.
목적 료해심수시≥18세인군억욱장애적환병솔화분포특점.방법 이세계위생조직-세계정신건강련맹(WHO-WMH)제공적복합성국제진단방담표(CIDI3.1)위방담공구,채용다계단분층수궤추양방법대7134인진행면대면조사.결과 (1)가권종생환병솔:위7.74%;중형억욱、경미억욱화악렬심경분별위6.19%、1.28%화0.27%;녀성고우남성[8.78%∶6.75%,비치비(OR)=1.33,95%가신구간(95% CI)=1.12～1.58,P＜0.01].(2)가권12개월환병솔:위3.67%,녀성고우남성(3.89%∶3.01%,OR=1.30,95% CI=1.01～1.68,P＜0.05).(3)가권30 d환병솔:위1.45%,녀성고우남성(1.85%∶0.97%,OR=1.93,95% CI=1. 27～2.91,P＜0.01).(4)공병솔:위40.14%,공병적주요류형위강박증(15.73%)、초필증(14.65%)화공구증(13.38%).(5)환병솔급병정엄중정도여성별、년령、혼인상황、문화정도화경제상황등인소유관,년령24～29세화30～34세인군적종생환병솔명현고우년령18～23세자,동거자화독거자환병솔고우이혼자,수교육년한≥13년자환병솔명현고우0～6년자,가정수입고자환병솔명현고우가정수입저자.결론 억욱장애이경성위심수시인군적상견병,구유발병년령소、공병솔고화취진솔저적특점.
Objective To investigate the prevalence and distribution characteristics of depressive disorder in Shenzhen. Method The epidemiological survey on depressive disorder were carried out in Shenzhen by stratified multi-stage random sampling method,7134 respondents were assessed by face-to-face interviews using the World Health Organization (WHO)-World Mental Health (WMH) Survey Initiative Version of the Composite International Diagnostic Interview ( CIDI 3.1 ). Results ( 1 ) The weighting prevalence of depressive disorder was 7.74%, the weighting prevalence of major depressive, minor depressive and dysthymia were 6.19%, 1.28% and 0.27% respectively. The prevalence rate in the females was significantly higher than that in the males ( 8.78% vs. 6.75%, OR = 1.33, 95% CI = 1.12 - 1.58,P ＜0.01 ). (2) The weighting twelve month incidence of depressive disorder was 3.67%, the incidence in the females was significantly higher than that in the males (3. 89% vs. 3.01%, OR = 1.30, 95% CI =1.01 - 1.68, P ＜ 0.05 ). (3) The weighting thirty day incidence of depressive disorder was 1.45%, the incidence in the females was significantly higher than that in the males ( 1.85% vs. 0.97%, OR = 1.93,95% CI = 1.27 - 2.91, P ＜ 0.01 ). (4) The comorbidity rate of depressive disorder with other mental disorders was 40.14%. The main types of co-morbidity were obsessive-compulsive disorder( 15.73% ),anxiety disorder( 14.65% )and phobias( 13.38% ). (5) The prevalence and severity of depressive disorder were associated with gender, age, marital status, education and economic status. The prevalence in the agegroups of 24 -29 and 30 -34 years were significantly higher than that in the group of 18 -23 year of age.The prevalence rate in the cohabitants and solitaries were significantly higher than those in the married and higher in the educational years ≥ 13 than in the educational years 0 - 6, and so was in the high family income than that in the low family income. Conclusion Depressive disorder has become a common disease in Shenzhen with early onset, high comorbidity rate and low treatment rate.
