怀化城乡中小学生焦虑障碍流行病学调查  

The epidemiological investigation of anxiety disorders in urban-rural primary and middle school students in Huaihua

作　　者：叶海森[1] 罗学荣[2] 周侠[3] 申秀云[3] 汪小华[3] 

机构地区：[1]湖南省脑科医院,湖南长沙410007 [2]中南大学湘雅二医院精神卫生研究所 [3]怀化市第四人民医院

出　　处：《临床心身疾病杂志》2008年第6期501-504,共4页Journal of Clinical Psychosomatic Diseases

基　　金：中华医学基金会(CMB)资助项目(编号Small Grants Program #02-777)

摘　　要：目的了解怀化地区中小学生中焦虑障碍的疾病分布特征、患病情况及相关危险因素。方法采用分层随机抽样方法及二阶段流行病学调查方法,用儿童精神障碍调查筛查表及半定式诊断检查表,以DSM-IV为诊断标准调查怀化城区和农村地区885名6a～17a中小学生焦虑障碍的患病状况。结果焦虑障碍总时点患病率为5.88%,亚型中广泛性焦虑障碍患病率最高,为3.16%。城市焦虑障碍患病率显著高于农村(9.70%、3.92%,P<0.01)。父母教育方式、性格、母孕期心情、家庭收入水平和分娩情况等是危险因素。结论焦虑障碍是中小学生中较常见的一种情绪障碍,应引起家长和学校的关注,并积极进行有针对性干预。Objective To explore the distributional characteristics, sickness status and correlated risk factors of anxiety disorders in rural-urban primary and middle school students in Huaihua. Methods Sickness status was investigated in 885 students aged 6 - 17 years using the Stratified Random Sample （SRS） and the Two-stage Epidemiological Survey（TES）, with the Investigation Screening In ventory for Child Mental Disorder（ISICMD,self-made） and the Kiddy Schedule for Affective Diseases and Schizophrenia （K-SADS-PL） ,and according to the DSM-IV . Results The total point prevalence of anxiety disorders was 5.88%, among subtypes prevalence of generalized anxiety disorder the highest（3.16%）. The prevalence of anxiety disorder was significantly higher in urban than rural students （9. 70% vs. 3.92%, P〈0.01）. Risk factors included the parental education modes, character, mood during pregnancy, levels of family income and the condition of delivery. Conclusion Anxiety disorders are a more common emotional disorder in primary and middle school students, should be paid close attention to, and purposeful interventions uadertaken positively.

关 键 词：流行病学调查 焦虑障碍 患病率 危险因素 

分 类 号：R749.72[医药卫生—神经病学与精神病学]