【摘要】 目的了解河北省≥18岁人群各类精神障碍的患病率和分布特点。方法 2004年10月至2005年3月采用多阶段分层整群抽样方法随机抽取≥18岁人群,共24 000名,以美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)轴Ⅰ障碍定式临床检查患者版进行调查,用 DSM-Ⅳ对各类精神障碍进行诊断。结果 (1)患病率:20 716人完成调查,精神障碍的时点患病率为162.43%0[95%可信区间(95%CI)为15.8%～16.7%],排在前三位的是重性抑郁障碍(27.01‰)、未特定的焦虑障碍(25.09‰)和心境恶劣障碍(23.12‰);终生患病率为185.12‰(95%CI 为18.0%～19.0%),排在前三位的是重性抑郁障碍(47.47‰)、酒精依赖性和滥用性障碍(38.62‰)和未特定抑郁障碍(25.51‰)。(2)时点患病率:女性(167.95‰)高于男性(156.95‰),农村(165.63‰)高于城市(144.31‰),均 P<0.05～0.01;并随年龄的增长而不断上升,其中30～49岁为137.17‰～156.71‰,50～≥70岁为201.44‰～285.41‰。结论河北省精神疾病的患病率较高,其中女性和农村的患病率高;重性抑郁障碍是省内患病率最高的精神疾病。更多还原

【Abstract】 Objective To describe the current prevalence and distribution of various types of mental disorders in Hebei Province.Methods From Oct.2004 to Mar.2005,24 000 subjects aged 18 years or over were sampled out in Hebei Province.An expanded version of the General Health Questionnaire was used to identify subjects at high,moderate and low risk for having a mental disorder,then psychiatrists made diagnoses according to the fourth edition of Diagnostic and Statistical Manual of Mental Disorder(DSM-IV) criteria after conducting a structured clinical interview(SCID).Results(1)In 20 716 subjects completed the screening,the overall current rate of mental disorders was 162.43%o(95% CI=15.8%-16.7%),and major depressive disorder(27.01%o),unspecified anxiety disorders(25.09%o)and dysthymic disorders (23.12‰)occupied the preceding position.The overall hfetime prevalence of mental disorders was 185.12‰(95% CI=18.0%-19.0%),and major depressive disorder(47.47‰),alcohol dependence and abuse disorders(38.62‰),and unspecified depressive disorder(25.51‰)occupied the preceding position.(2)The overall current prevalence of mental disorders was higher in rural(165.63‰)than in urban areas(144.31‰),and in women(167.95‰)than in men(156.95‰)(P<0.05-0.01).The prevalence increased with aging,137.17‰-156.71‰ in 30-49 years,and 201.44‰-285.41%o in 50～≥ 70 years.Conclusions Through the investigation,we know about the current prevalence and the eharacteristic of distribution of various types of mental disorders in Hebei Province,which provides scientific data for the prevention and treatment of mental disorders.更多还原