浦东新区社区老人焦虑障碍流行病学特征调查分析  

Epidemiological characteristics of anxiety disorders in elderly in Pudong New District,Shanghai: A community-based study

作　　者：瞿正万[1] 杨振东[1] 江琦[1] 袁杰[1] 秦金[1] 唐强[1] 卢瑛[1] 孙一颖[1] 奚玥[1] 闵婕[1] 刘旻佳[1] 陆伟[1] 秦虹云[1] 裴瑜[1] 王红娟[1] 

机构地区：[1]上海市浦东新区精神卫生中心老年痴呆科,200124

出　　处：《中华临床医师杂志（电子版）》2011年第5期223-227,共5页Chinese Journal of Clinicians(Electronic Edition)

基　　金：上海市浦东新区卫生局(PWZXK2007-18)

摘　　要：目的开展老年焦虑障碍流行病学调查,观察其患病率及其易感因素,为防治疾病提供重要依据。方法随机抽样调查浦东新区43个村(居)委会在册常住3311例老人,应用美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)轴Ⅰ障碍定式临床检查患者版"SCID-Ⅰ/P"诊断工具进行调查。结果焦虑障碍时点患病率为2.57%(85/3311),其中广泛性焦虑最高(1.27%),且城市(1.54%)高于农村(0.72%)。男性为2.51%,女性为2.59%。该疾病与家庭居住条件差、患躯体疾病、家庭经济困难及遭遇明显精神压力等易感因素关系密切。患者的诊治率很低(9.41%)。结论老年焦虑障碍患病有逐年增高趋势,预防易感因素有利于降低其发生发展。Objective To observe the prevalence and risk factors of anxiety disorders in elderly in community setting to provide countermeasures for this disorder.Methods In Pudong New Area,3311 elderly residents were randomly selected in 43 villages （neighborhood） ,it was applied with United States Diagnostic and Statistical Manual of Mental Disorders 4th edition （DSM- Ⅳ） AxisⅠ Disorders-style version of the clinical examination of patients （SCID-Ⅰ/P） diagnostic tool for investigation.Results The point prevalence of anxiety disorders was 2.57% （85 cases） ,generalized anxiety was the highest （1.27% ） and was higher（1.54% ） in urban than rural （0.72% ） .It was 2.51% of male,2.59% of women.The disease was associated with a poor family living condition,suffering from physical illness,family financial difficulties and suffered significant mental stress.The patients to be diagnosed and treated were very low （9.41% ） .Conclusions Prevalence of anxiety disorders are increasing year by year in elderly,the prevention of the risk factors helps to reduce the occurrence and development of the disease.

关 键 词：老年人 精神障碍 焦虑 流行病学 精神卫生 

分 类 号：R749.72[医药卫生—神经病学与精神病学]