成都地区大中学生社交焦虑障碍共病率及社会功能调查  

Co-morbidity of social anxiety disorder and social function in high school and university students in Chengdu

作　　者：肖融[1] 吴薇莉[2] 胡峻梅[3] 邱昌建[1] 王强[1] 魏庚[1] 孙锦华[1] 杨闯[1] 宋萍[1] 叶安红[3] 张伟[1] 

机构地区：[1]四川大学华西医院心理卫生中心,四川省成都市610041 [2]西华大学心理咨询中心,四川省成都市610039 [3]四川大学华西基础医学与法医学院,四川省成都市610041

出　　处：《中国临床康复》2006年第34期38-40,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:调查成都地区大中学生(高发人群)社交焦虑障碍与其他精神障碍的共病情况,分析其对学生社会功能的影响。方法:在2003-11-03/14期间以成都市10区10县的大中学生为目标总体,按最优分配分层整群抽样抽出的2279名学生为调查样本,由经过培训及一致性检验的精神科医生进行一对一美国精神障碍诊断与统计手册第四版轴Ⅰ障碍用临床定式检查问诊,诊断标准采用《美国精神障碍诊断和统计手册第4版》。确诊的社交焦虑障碍患者中愿合作的患者149名根据美国精神障碍诊断与统计手册第四版轴Ⅰ障碍用临床定式检查完成共病情况调查;患者156名及其配比者(正常人)156名完成社会功能缺陷筛选表评估。结果:本调查共询问2279名学生,调查出并确诊的社交焦虑障碍患者共有179名,其中149名患者愿意参加精神障碍共病情况的调查,占全部患者的83.24%。179名患者中的156名患者愿意参加病情严重程度及社会功能调查,但在调查相应配比者精神障碍情况时发现有1名患有广泛性焦虑症,1名患有既往轻躁狂发作,故将这两名配比者及对应的患者排除,剩余者配成154对。占全部患者的86.03%。①149名社交焦虑障碍患者有其他精神障碍共病者为46人,共病率为30.87%,共病的前3位疾病依次为心境障碍(73.91%),焦虑障碍(58.70%),物质使用障碍(10.87%)。②严重程度分级按《DSM-Ⅳ轴Ⅰ障碍用临床定式检查-病人研究版(SCID-Ⅰ/P)》社交焦虑障碍诊断分级而分为:轻度59名(37.82%)、中度57名(36.54%)、重度36名(23.08%)、部分缓解4名(2.56%)。③社会功能缺陷筛选表总分中位数社交焦虑障碍重度组为6分,中度组为5分,轻度组为2分,明显高于对照组的0分(P<0.001)。结论:成都地区大中学生社交焦虑障碍与其他精神障碍的共病率为30.87%。社交焦虑障碍会损害患者的社会功能,损害程度与疾病严重程度成正相关,与其�AIM： To explore the co-morbidity of social anxiety disorder （SAD） and other mental disorder in the students of high schools and universities in Chengdu （high-risk population）, and analyze the influence of SAD on social function of those students. METHODS： The object collectivity involved the whole students in high schools and universities in the 10 areas and 10 towns of Chengdu, and 2 279 students sampled by optimum distribution and delaminating cluster method were interviewed one-to-one by the trained psychiatrists after consistency checking during November 3^rd to 14^th in 2003. The diagnostic criterion was Structured Clinical Interview for Diagnostic arid Statistical Manual of Mental Disorders （DSM-IV） Fourth Edition, axis Ⅰ disorders-clinician version （SCID-CV）. Cooperative students discovered in the epidemiological research, including 149 patients fulfilled the survey of co-morbidity by using SCID- Ⅰ/P （patient edition）, while 156 patients and 156 corresponding normal controls completed the assessment of social function by using Social Disability Screening Schedule （SDSS）. RESULTS： Among 2 279 interviewees, 179 students were diagnosed as SAD, and 149 of them （83.24%） were volunteered to take part in the survey of the co-morbidity of SAD, while 156 patients volunteered to participate in the survey of SAD severity and social function. Owing to one generalized anxiety disorder and one previous hypomania as well as their matches were deleted, a total of 154 patients （86.03%） and their corresponding controls were involved in the result analysis. ①The co-morbidity was 30.87% for 46 SAD patients coexisting mental disorders in the 149 interviewed patients. The first three co-morbidity disorders were mood disorder （73.91%）, anxiety disorder （58.70%） and substance abuse （10.87%）. ②According to SCID- Ⅰ/P, the SAD severity was classified as： mild （59 cases, 37.82%）, moderate （57 cases, 36.54%）, severe （36 cases, 23.08%） and partly relieved （4 ca

关 键 词：焦虑症/流行病学 精神障碍 焦虑症/并发症 社会适应 

分 类 号：R749.72[医药卫生—神经病学与精神病学]