摘要
目的了解辽宁省18岁以上人群各类情感障碍的患病率和分布特点。方法采用多阶段分层随机抽样方法,以复合性国际诊断交谈检查量表1.0(CIDI1.0)对全省6个市县13358名18～65岁居民进行了入户面访调查。结果重性抑郁、心境恶劣、双相情感障碍及情感障碍合计的年标化率为1.54%,0.91%,0.09%和1.96%;终生标化率为2.22%,1.57%,0.14%和2.93%。重性抑郁和心境恶劣患病率女性(3.35%,2.45%)高于男性(1.80%,1.26%,RR=1.76,95%CI:1.40～2.23;RR=1.81,95%CI:1.37～2.38);城市(3.14%,2.28%)高于农村(2.19%,1.56%,RR=1.62,95%CI:1.24～2.13;RR=1.50,95%CI:1.10～2.05)。情感障碍与焦虑和酒精使用障碍的终生共病率分别为41.96%和10.87%。结论辽宁省居民重性抑郁、心境恶劣和双相情感障碍的患病率接近GBD2000对我国估计的水平。情感障碍与焦虑和酒精使用障碍的共病普遍存在,抑郁等情感障碍已经成为常见病和主要公共卫生问题。
Objective To describe the prevalence and distribution of mood disorders among people aged above 18 yrs in Liaoning province. Methods 13 358 subjects aged 18-65 yrs were randomly selected from 3 cities and 3 counties by stratified multi-stage cluster sampling method. They were assessed for DSM Ⅲ -R diagnoses by face to face interview with Composite International Diagnostic Interview （CID1-1.0）. Results The response rate was 86.1%. The adjusted annual and lifetime prevalence of severe depression, dysthymia, bipolar disorder and overall mood disorders were 1.54%, 0.91%, 0.09%, 1.96% and 2.22%, 1.57%, 0.14%, 2.93%, respectively. The prevalence of major depression and dysthymia was significantly higher in females （3.35% and 2.45%）than males （1.80% and 1.26%, RR=1.76, 95%CI： 1.40-2.23; RR=1.81, 95%CI 1.37-2.38）, higher in urban areas （3.14% and 2.28%） than in rural areas （2.19% and 1.56%, RR=1.62, 95%CI： 1.24-2.13; RR=1.50, 95%CI： 1.10-2.05）. The comorbidity rates of mood disorders with anxiety and alcohol disorders were 41.96% and 10.87%, respectively. Conclusions The prevalence of severe depression, dysthymia and bipolar disorder in Liaoning province were close to the level of China expected by GBD2000, significantly higher than that of the mental health survey conducted in 1992, the comorbidity of mood disorders with anxiety and alcohol disorders is common in Chinese.
出处
《中国慢性病预防与控制》
CAS
2008年第4期378-381,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
辽宁省科技厅重点资助项目(2004225001)
