深圳市恐惧症的患病率及社会功能状况调查  

The survey on the prevalence and social function of Phobia in Shenzhen city

作　　者：段卫东[1] 胡赤怡[1] 刘铁榜[1] 高欢[1] 胡纪泽[2] 舒明跃[1] 陆亚文[1] 张繁新[1] 杨洪[1] 金冬[1] 林雄标[1] 杨孔军[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,深圳518020 [2]深圳大学心理科

出　　处：《中国神经精神疾病杂志》2011年第7期401-405,共5页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的了解深圳市≥18岁人群恐惧症的患病率、分布特点和社会功能状况。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(Survey Initiative Version of the Composite Interna-tional Diagnostic Interview-3.1,CIDI3.1)为访谈工具,采用多阶段分层随机抽样方法对深圳市7134人进行面对面调查。结果共检出恐惧症患者337例,恐惧症的加权终生患病率为5.02%,特定恐惧症、社交恐惧症和场所恐惧症分别为3.67%、1.75%和0.20%;女性高于男性(5.80%vs 3.68%,OR=1.61,95%CI:1.29-2.02,P<0.01)。恐惧症的12个月加权患病率为2.85%,女性高于男性(3.69%vs 1.85%,OR=2.03,95%CI:1.51-2.74,P<0.01)。恐惧症的30 d加权患病率为1.28%,女性高于男性(1.90%vs 0.80%,OR=2.40,95%CI:1.55-3.72;P<0.01)。发病年龄中位数为10岁,女性的发病年龄明显低于男性(Z=4.01,P<0.01)。49.26%(166/337)的恐惧症患者有共病现象,共病的主要疾病为强迫症(23.44%,79/337)、抑郁症(21.96%,74/337)和焦虑症(16.32%,55/337)。恐惧症的就诊率和住院率分别为16.62%(56/337)和1.19%(4/337)。恐惧症患者的社会功能存在轻度、中度和重度妨碍者分别占10.09%(34/337)、18.99%(64/337)和9.50%(32/337)。结论恐惧症为深圳市的常见疾病之一,具有发病年龄小、共病率高和就诊率低的特点。Objective To investigate the prevalence , distribution characteristics and social function of Phobia in adults at 18 years of age and older in Shenzhen. Methods The epidemiological survey on Phobia were carried out in Shenzhen using stratified multi-stage random sampling method and 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 In- ternational Diagnostic Interview （ CIDI 3.1 ）. Results The weighting lifetime prevalence of Phobia was 5.02%. The weighting prevalence of Specific Phobia, Social Phobia and Agoraphobia were 3.67% ,1.75% and 0. 20%, respectively. The prevalence of Phobia was significantly higher in the females than in the males （5. 80% vs 3.68% , OR = 1.61, 95% CI -- 1.29 - 2. 02, P 〈 0. 01 ）. The weighting twelve month incidence of Phobia was 3.67% ,and this incidence was significantly higher in the females than in the males （3. 69% vs 1.85 % , OR = 2. 03,95 % CI = 1.51 - 2. 74 ;P 〈 0. 01 ）. The weighting thirty day incidence of Phobia was 1.28% , and this incidence was significantly higher in females than in the males （ 1.90% vs 0. 80% , OR = 2. 40,95 % CI = 1.55 - 3.72 ;P 〈 0. 01 ）. The median Age-of-Onset of Phobia was 10 years old. The Age-of-Onset of was significantly lower in females than in the males（Z =4. 01 ,P 〈0. 01 ）. The comorbidity rate of Phobia with other mental disorders was 49.26% （166/337）. The main diseases of comorbidity were obsessive-compulsive disorder（23.44% ,79/337）, depressive disorder （ 21.96%, 74/337 ） and anxiety disorder （ 16. 32%, 55/337 ）. The treatment rate and hospitalization rate of Phobia was 16. 62% （56/337） and 1.19% （4/337）, respectively. The mild, moderate and severe impairment of social function were about 10. 09% （ 34/337 ） , 18.99% （ 64/337 ） and 9.50% （ 32/337 ） , respectively. Conclusions Phobia is common disease in Shenzhen and it has early onset, high comorbidity an

关 键 词：恐惧症 患病率 流行病学调查 

分 类 号：R749.7[医药卫生—神经病学与精神病学]