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内蒙古赤峰市4类精神障碍现况调查

A cross-sectional study of 4 mental disorders in Chifeng City of Inner Mongolia Autonomous Region

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【作者】 李国华黄悦勤李艳祥刘肇瑞耿洪春王建伟袁瑷琳陈永丽王立杰韩雪陈艳芳李志娟韩朝娟王铸英白福臣张赫男屈风晨

【Author】 LI Guo-Hua;HUANG Yue-Qin;LI Yan-Xiang;LIU Zhao-Rui;GENG Hong-Chun;WANG Jian-Wei;YUAN Ai-Lin;CHEN Yong-Li;WANG Li-Jie;HAN Xue;CHEN Yan-Fang;LI Zhi-Juan;HAN Zhao-Juan;WANG Zhu-Ying;BAI Fu-Chen;ZHANG He-Nan;QU Feng-Chen;Chifeng Anding Hospital;Peking University Sixth Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health ( Peking University );Chifeng City Mental Health Institute;

【机构】 赤峰市安定医院北京大学第六医院北京大学精神卫生研究所卫生部精神卫生学重点实验室(北京大学)赤峰市精神病防治院

【摘要】 目的:描述内蒙古赤峰市≥18岁人群4类常见精神障碍的流行病学患病率及其分布特点。方法:采用多级分层容量比例概率随机抽样的方法于2010年选取赤峰市≥18岁的居民6376名,采用复合性国际诊断交谈表-3.0计算机版(CIDI-3.0-CAPI)进行入户访谈,按美国精神障碍诊断与统计手册第4版(DSM-IV)的标准对焦虑障碍、心境障碍、物质使用障碍和冲动控制障碍进行诊断。结果:实际接受访谈4528名,焦虑障碍、心境障碍、物质使用障碍和冲动控制障碍30天调整患病率(95%CI)分别为2.5%(2.08%~2.99%)、0.9%(0.67%~1.23%)、0.5%(0.34%~0.76%)、0.6%(0.41%~0.86%);12个月调整患病率(95%CI)分别为4.5%(3.93%~5.15%)、2.4%(2.0%~2.90%)、1.1%(0.84%~1.45%)、1.0%(0.74%~1.32%);终生调整患病率(95%CI)分别为6.6%(5.92%~7.36%)、6.5%(5.81%~7.24%)、2.7%(2.26%~3.21%)、1.4%(1.23%~1.95%)。结论:内蒙古赤峰市4类精神障碍患病率由高到低依次为焦虑障碍、心境障碍、物质使用障碍及冲到控制障碍。

【Abstract】 Objective: To describe the epidemiological characteristics of mental disorders in community residents aged 18 years and over in the Chifeng City of Inner Mongolia Autonomous Region. Methods: Six thousand three hundred and seventy six individuals aged 18 years and over w ere sampled using stratified Probability-Proportional-to-Size Sampling in Chifeng City in 2010. All respondents w ere investigated by face-to-face interview. The Composite International Diagnostic Interview-3. 0 Computer Assisted Personal Interview( CIDI-3. 0-CAPI) w as used to make diagnoses based on the definition and criteria of the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition( DM S-IV). Results: A total of 4528 subjects completed the CIDI-3. 0-CAPI. Regarding anxiety disorder,mood disorder, substance use disorder, and impulse control disorder, the 30-day adjusted prevalence rates( 95% CI) w ere 2. 5%( 2. 08%- 2. 99%,0. 9%( 0. 67%- 1. 23%),0. 5%( 0. 34%- 0. 76%), and 0. 6%( 0. 41%- 0. 86%) respectively, and the 12- month prevalence rates w ere 4. 5%( 3. 93%- 5. 15%), 2. 4%( 2. 0%- 2. 90%),1. 1%( 0. 84%- 1. 45%), and 1. 0%( 0. 74%- 1. 32%) respectively. The lifetime adjusted prevalence rates w ere 6. 6%( 5. 92%- 7. 36%),6. 5%( 5. 81%- 7. 24%),2. 7%( 2. 26%- 3. 21%),and 1. 4%( 1. 23%- 1. 95%) respectively. Conclusion: According to morbidity, anxiety disorders, mood disorder, substance use disorders and impulse control disorders are common in Chifeng City of Inner Mongolia Autonomous Region sequencely,being a prominent public health problem.

  • 【文献出处】 中国心理卫生杂志 ,Chinese Mental Health Journal , 编辑部邮箱 ,2015年09期
  • 【分类号】R749
  • 【被引频次】8
  • 【下载频次】226
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