深圳市间歇性暴发性障碍的流行病学调查  

Epidemiological survey on intermittent explosive disorder in Shenzhen City

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,深圳市康宁医院,广东深圳518020

出　　处：《中国心理卫生杂志》2010年第12期936-941,共6页Chinese Mental Health Journal

摘　　要：目的：了解深圳市间歇性暴发性障碍的患病率及分布特点。方法：以世界卫生组织一世界精神健康联盟（WHO—WMH）提供的复合性国际诊断访谈表（CompositeInternationalDiagnosticInterview，CIDI3．1）为访谈工具，采用多阶段分层随机抽样方法对7134名受访人进行面对面调查。结果：（1）间歇性暴发性障碍的加权终生患病率、加权12个月患病率和加权30天患病率分别为3．32％、2．39％和1．34％。男性终生患病率高于女性（3．62％vs．2．24％，OR=0．61，95％CI=0．46～0．81），非户籍人口终生患病率明显高于户籍人口（3．58％vs．2．30％；OR=1．58，95％CI=1．19～2．09）。（2）间歇性暴发性障碍的平均发病年龄为（15．1±7．2）岁，平均病程为（14．1±8．2）年；每年暴发次数的中位数为12次，每年因冲动行为砸毁财物所造成的经济损失中位数为950．0元。（3）间歇性暴发性障碍的共病率为66．67％，共病的主要类型是抑郁症、强迫症和恐惧症，分别为30．48％、24．29％和23．81％。（4）间歇性暴发性障碍的总就诊率为4．76％。（5）间歇性暴发性障碍患者社会功能有中度和重度妨碍者大约各占15％。结论：间歇性暴发性障碍是一种常见的心理疾病，该病发病年龄低、病程较长、共病率高及就诊率低，给患者的社会功能造成较大的影响，应该得到社会广泛的关注。Objective： To investigate the prevalence and distribution of intermittent explosive disorder （ IED ） in Shenzhen City. Methods： The epidemiological survey on lED was carried out in Shenzhen by stratified multistage randomized sampling method. Totally 7134 respondents were assessed through face-to-face interviews, with 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 lifetime prevalence, weighting twelve-month prevalence and weighting 30-day prevalence of IED were 3.32%, 2. 39% and I. 34%, respective- ly. The lifetime prevalence of males was significantly higher than that of females （3.62% vs. 2.24% ; OR =0. 61, 95 % CI = 0. 46 - 0. 81 } . The lifetime prevalence of non-registered residents was significantly higher than that of the registered residents （ 3.58% vs. 2. 30% ; OR = 1.58, 95% CI = 1. 19 - 2.09 } . （ 2 J The average age at the onset of IED were （ 15. 1± 7.2 ） years and the mean course were { 14. 1 ± 8. 2 } years. The median number of anger attacks was 12 times per year. The median number of economic losses was 950. 0 yuan per year due to aggressive be- havior to damage property. { 3 ） The co-morbidity rates between lED and other mental disorders was 66. 67%. The main types of co-morbidity were major depression disorder （ 30. 48% ）, obsessive-compulsive disorder （24. 29% ） and phobias （ 23.81% ） . { 4） The received treatment rate of lED was 4. 76 %. （ 5 ） The moderate and severe impairment of social function were about 15 % respectively. Conclusion： Intermittent explosive disorder is acom-mon mental disorder, which has an early age at onset, a persistent course, high co-morbidity rate, little received treatment rate and significant social function impairment. It should arouse extensive concern of the society.

关 键 词：间歇性暴发性障碍 患病率 流行病学 

分 类 号：R181.32[医药卫生—流行病学] R339.2[医药卫生—公共卫生与预防医学]