辽宁省城乡居民情感性精神障碍流行病学调查  

Epidemiological Survey of Mood Disorders among Urban and Rural Residents in Liaoning Province

作　　者：张淑娟[1] 姜潮 王萍[3] 刘美娟[4] 刘辉[5] 于传友[6] 富增国 于泉福[8] 杨晓丽[1] 那军[1] 李宁[1] 颜廷梅[1] 潘国伟[1] 

机构地区：[1]辽宁省疾病预防控制中心社会医学与健康研究所,辽宁沈阳110005 [2]辽宁省卫生厅,辽宁沈阳110005 [3]沈阳市疾病预防控制中心,辽宁沈阳110002 [4]鞍山市疾病预防控制中心,辽宁鞍山114002 [5]阜新市疾病预防控制中心,辽宁阜新123000 [6]清原县疾病预防控制中心,辽宁清原113300 [7]彰武县疾病预防控制中心,辽宁彰武123200 [8]大洼县疾病预防控制中心,辽宁大洼124200

出　　处：《中国慢性病预防与控制》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)

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.

关 键 词：情感障碍 重性抑郁 心境恶劣 患病率 流行病学调查 

分 类 号：R749.4[医药卫生—神经病学与精神病学]