摘要
目的了解潍坊市≥18岁人群精神障碍的患病率及分布特征。方法采用多阶段分层整群抽样方法,随机抽取潍坊市≥18岁居民4815人,由精神科护士用一般健康问卷(general health questionnaire, GHQ-12)进行筛查,然后由精神科医生根据《美国精神障碍诊断与统计手册第四版》对筛查阳性者、因躯体疾病原因无法回答者、近1年因躯体疾病住院治疗者、因精神疾病无法完成筛查者和随机抽取的10%筛查阴性者进行诊断。结果有效完成调查4797人。调整后精神障碍总现患率为17.81%(95%CI:16.72%～18.89%)。各类精神障碍现患率由高到低依次为物质使用障碍(5.69%)、焦虑障碍(4.49%)、心境障碍(4.29%)、器质性精神障碍(2.22%)、精神病性障碍(1.06%)、其它精神障碍(0.05%)。最常见的精神障碍依次为酒精使用障碍(5.66%)、重性抑郁障碍(1.80%)和心境恶劣障碍(1.45%)。男性精神障碍总现患率高于女性(18.66%vs. 16.97%,P<0.01)。城镇居民精神障碍现患率与农村之间差异无统计学意义(17.07%vs. 18.54%,P=0.08)。结论精神卫生问题,尤其是酒精使用障碍、重性抑郁障碍和心境恶劣障碍,已成为潍坊市突出的公共卫生问题。
Objective To determine the prevalence and the distribution of mental disorder among adults逸18 years old in Weifang.Methods Stratified multistage cluster randomization was adapted to screen for mental disorders in 4815 individuals逸18 years old.Subjects were screened based on an expanded version of the General Health Questionnaire(GHQ)by psychiatric nurses.Psychiatrists determined their diagnoses by applying the Structured Clinical Interview for DIS-IV(SCID)to subjects including people with positive identification,people with physical illness who could not respond to the questions,people with physical illness hospitalization in nearly one year and those with negative identification which accounted for 10%people with negative identification.Results Among 4797 individuals who completed the survey,the prevalence of all current mental disorders was 17.81%渊95%CI院16.72%~18.89%冤.The prevalence rates for different disorders were as follows:substance use disorders(5.69%),anxiety disorders(4.49%),mood disorders(4.29%),organic disorders(2.22%),psychotic disorders(1.06%)and other disorders(0.05%).The current prevalence rates of the most common disorders were as follow:alcohol use disorder(5.66%),major depressive disorders(1.80%)and dysthymia(1.45%).The prevalence of mental disorder was higher in males than in females(18.66%vs.16.97%,P约0.05).The prevalence rates were not significantly different between urban and rural residents(17.07%vs.18.54%,P跃0.05).Conclusion Mental health issues,especially alcohol use disorder,major depressive disorders and dysthymia are prominent public health problems in Weifang City.
作者
葛茂宏
高伟博
董兰
胥爱萍
林艳
王程辉
董军
王光月
王勇
于永强
刘春营
李文明
张焕玲
王梅
杨倩
张颖
付晓萌
高健
GE Maohong;GAO Weibo;DONG Lan;XU Aiping;LIN Yan;WANG Chenghui;DONG Jun;WANG Guangyue;WANG Yong;YU Yongqiang;LIU Chunying;LI Wenming;ZHANG Huanling;WANG Mei;YANG Qian;ZHANG Ying;FU Xiaomeng;GAO Jian(Weifang Mental Health Center,Weifang 261000,China)
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
2018年第10期589-593,共5页
Chinese Journal of Nervous and Mental Diseases
关键词
精神障碍
患病率
现况调查
Mental disorder
Prevalence
Cross-sectional survey
