CAJ | 학술논문

目的:探讨成都市儿童少年抑郁障碍的患病率和共病情况.方法:采用量表填写和访谈同时进行的横断面研究方法.从成都市中小学校中随机抽取了5194名中小学生,应用长处和困难问卷及精神发育和健康状况评定量表对其进行调查.结果:儿童少年抑郁的总体患病率为1.2%.12岁以后女性的抑郁障碍患病率高于男性(2.56% vs.1.42%,P=0.040).6～8岁、9～11岁、12～14岁和15岁以上年龄组的患病率分别为0.10%、0.51%、1.56%和2.59%.40%的患者至少合并1种其他精神疾病.儿童少年抑郁与焦虑障碍和各种行为障碍共病率分别为29.1%和25.5%.结论:儿童少年抑郁障碍的患病率存在性别和年龄差异.且随着年龄的增加,患病率有上升的趋势.共病在儿童少年抑郁患者中较常见.
목적:탐토성도시인동소년억욱장애적환병솔화공병정황.방법:채용량표전사화방담동시진행적횡단면연구방법.종성도시중소학교중수궤추취료5194명중소학생,응용장처화곤난문권급정신발육화건강상황평정량표대기진행조사.결과:인동소년억욱적총체환병솔위1.2%.12세이후녀성적억욱장애환병솔고우남성(2.56% vs.1.42%,P=0.040).6～8세、9～11세、12～14세화15세이상년령조적환병솔분별위0.10%、0.51%、1.56%화2.59%.40%적환자지소합병1충기타정신질병.인동소년억욱여초필장애화각충행위장애공병솔분별위29.1%화25.5%.결론:인동소년억욱장애적환병솔존재성별화년령차이.차수착년령적증가,환병솔유상승적추세.공병재인동소년억욱환자중교상견.
Objective: To explore the prevalence and co-morbidity in depression disorder among children and adolescents in Chengdu City. Methods: Using a one-phase design, 4S8S children and adolescents in grades 1～10 were assessed with the Strength and Difficulty questionnaire (SDQ) and Development and Well-Being Assessment (DAWBA) . A structured interview with verbatim reports was reviewed by clinicians so that information from parents, teachers, and children were combined in a manner that emulated the clinical process. Results: (1) The rate of depressive disorder was 1.2% , and that in girls was much higher than that in boys after 12 years old (2.56% vs. 1.42%) . (2) The rate of depressive disorder increased with age from 0.10% (6～8 years) to 2.59% (≥ 15 years) . (3) The co-morbidity was 40% . The most common comorbidity diagnosis was anxiety disorders (29.1%) and behavior disorders (25.5%) . Conclusion: The prevalence of depressive disorder among children and adolescents in Chengdu is 1.2%. Gender and age may be the related factors. The co-morbidity is common in children and adolescents with depression disorder.