2005年深圳市抑郁障碍患病率的现况调查  

Cross-sectional survey of depressive disorder in Shenzhen City in 2005

作　　者：段卫东[1] 刘铁榜[1] 胡赤怡[1] 高欢[1] 胡纪泽[1] 张翔[1] 唐卓如[1] 陆亚文[1] 张繁新[1] 杨洪[1] 金冬[1] 林雄标[1] 杨孔军[1] 舒明跃[1] 张毅宏[1] 沈其杰[1] 

机构地区：[1]深圳市精神卫生中心门诊部,518020

出　　处：《中华精神科杂志》2010年第4期211-216,共6页Chinese Journal of Psychiatry

摘　　要：目的 了解深圳市≥18岁人群抑郁障碍的患病率和分布特点.方法 以世界卫生组织-世界精神健康联盟（WHO-WMH）提供的复合性国际诊断访谈表（CIDI3.1）为访谈工具,采用多阶段分层随机抽样方法对7134人进行面对面调查.结果 （1）加权终生患病率：为7.74%;重型抑郁、轻微抑郁和恶劣心境分别为6.19%、1.28%和0.27%;女性高于男性[8.78%∶6.75%,比值比（OR）=1.33,95%可信区间（95% CI）=1.12～1.58,P＜0.01].（2）加权12个月患病率：为3.67%,女性高于男性（3.89%∶3.01%,OR=1.30,95% CI=1.01～1.68,P＜0.05）.（3）加权30 d患病率：为1.45%,女性高于男性（1.85%∶0.97%,OR=1.93,95% CI=1. 27～2.91,P＜0.01）.（4）共病率：为40.14%,共病的主要类型为强迫症（15.73%）、焦虑症（14.65%）和恐惧症（13.38%）.（5）患病率及病情严重程度与性别、年龄、婚姻状况、文化程度和经济状况等因素有关,年龄24～29岁和30～34岁人群的终生患病率明显高于年龄18～23岁者,同居者和独居者患病率高于已婚者,受教育年限≥13年者患病率明显高于0～6年者,家庭收入高者患病率明显高于家庭收入低者.结论 抑郁障碍已经成为深圳市人群的常见病,具有发病年龄小、共病率高和就诊率低的特点.Objective To investigate the prevalence and distribution characteristics of depressive disorder in Shenzhen. Method The epidemiological survey on depressive disorder were carried out in Shenzhen by stratified multi-stage random sampling method,7134 respondents were assessed by face-to-face interviews using the World Health Organization （WHO）-World Mental Health （WMH） Survey Initiative Version of the Composite International Diagnostic Interview （ CIDI 3.1 ）. Results （ 1 ） The weighting prevalence of depressive disorder was 7.74%, the weighting prevalence of major depressive, minor depressive and dysthymia were 6.19%, 1.28% and 0.27% respectively. The prevalence rate in the females was significantly higher than that in the males （ 8.78% vs. 6.75%, OR = 1.33, 95% CI = 1.12 - 1.58,P 〈0.01 ）. （2） The weighting twelve month incidence of depressive disorder was 3.67%, the incidence in the females was significantly higher than that in the males （3. 89% vs. 3.01%, OR = 1.30, 95% CI =1.01 - 1.68, P 〈 0.05 ）. （3） The weighting thirty day incidence of depressive disorder was 1.45%, the incidence in the females was significantly higher than that in the males （ 1.85% vs. 0.97%, OR = 1.93,95% CI = 1.27 - 2.91, P 〈 0.01 ）. （4） The comorbidity rate of depressive disorder with other mental disorders was 40.14%. The main types of co-morbidity were obsessive-compulsive disorder（ 15.73% ）,anxiety disorder（ 14.65% ）and phobias（ 13.38% ）. （5） The prevalence and severity of depressive disorder were associated with gender, age, marital status, education and economic status. The prevalence in the agegroups of 24 -29 and 30 -34 years were significantly higher than that in the group of 18 -23 year of age.The prevalence rate in the cohabitants and solitaries were significantly higher than those in the married and higher in the educational years ≥ 13 than in the educational years 0 - 6, and so was in the high family income than that in the low family income. Conclusion Depressive

关 键 词：抑郁症 患病率 流行病学方法 

分 类 号：R686[医药卫生—骨科学]