宜宾地区18岁及以上人群心境障碍现患病率调查  

Epidemiological survey of mood disorder among adults aged ≥18 years in Yibin city

作　　者：张荣珍[1] 杨永和[2] 王志青[1] 刘冬梅[2] 向道华[2] 廖华[2] 王世禹[2] 冯翼[2] 杨成敏[2] 李洪梅[2] 林俊[2] 

机构地区：[1]北京回龙观医院,北京100096 [2]四川省宜宾市康复医院

出　　处：《中国神经精神疾病杂志》2012年第2期69-73,共5页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的了解宜宾地区成年人群心境障碍的现患病率及分布特点。方法采用多阶段分层整群抽样方法抽取宜宾地区≥18岁人群12000人,用扩展的一般健康问卷筛查将调查对象分为精神障碍高、中、低危险组,然后用《DSM-Ⅳ轴Ⅰ障碍用临床定式检查》(Structured Clinical Interview for DSM-Ⅳ-TR,SCID)对不同比例的三组人群进行诊断检查。结果11227人完成了调查。调整后心境障碍总的现患率为2.48%(95%CI:1.87%～3.28%)。心境障碍中具体诊断的患病率依次为未特定抑郁障碍1.4%(95%CI:0.98%～1.99%)、重性抑郁障碍0.81%(95%CI:0.47%～1.38%)、心境恶劣障碍0.17%(95%CI:0.09%～0.33%)、双相I型障碍0.11%(95%CI:0.02%～0.68%)。心境障碍总的现患病率女性高于男性(2.97%比1.83%,RR=1.62,RR的95%CI:1.27%～2.11%),城市高于农村(3.60%比2.40%,RR=1.50,RR的95%CI:1.13%～2.05%)。在现患心境障碍者中,仅有5.9%接受过医疗机构的任何治疗,2.2%接受过精神心理机构的治疗,0.7%接受过精神科住院治疗。结论心境障碍已经成为宜宾地区重要的公共卫生问题,而患者中向精神心理机构求助的较低比例应引起高度关注。Objective To investigate the prevalence and distribution of mood disorder among adults in Yibin city.Methods A total of 12000 subjects aged ≥18 years from Yibin city was recruited in this study using muti-stage stratified cluster sampling.The subjects were first screened using the expanded version of General Health Questionnaire and were then classified as high,moderate or low risk of having a mental disorder based on the screening results.Different proportions of the three groups were assessed with the Structured Clinical interview for DSM-Ⅳ-TR（SCID）.Results Totally 11,227 subjects completed the survey.The adjusted current prevalence of mood disorder was 2.48%（95% CI：1.87% ～ 3.28%）.The prevalence rates of specific mood disorder were 1.4% for not-specified depression（95% CI： 0.98% to 1.99%）,0.81% for major depression（95% CI： 0.47% ～ 1.38%）,0.17% for dysthymic disorder（95% CI： 0.09% ～ 0.33%） and 0.11% for bipolar type I disorder（95% CI： 0.02% ～ 0.68%）.The current prevalence of mood disorder was significantly higher in women than in men（2.97% vs 1.83%,RR = 1.62,95% CI： 1.27% ～ 2.11%）.The current prevalence of mood disorder was significantly higher in urban residents than in rural residents（3.60% vs 2.40%,RR = 1.50,95% CI： 1.13% ～ 2.05%）.Among those with mood disorder,only 5.9% received any type of medical treatment,2.2% received mental health treatment and 0.7% received psychiatric in-patient treatment.Conclusion Mood disorder is a major public health problem in Yibin city.The low proportion of patients seeking help from mental health institutes should receive special attention.

关 键 词：心境障碍 重性抑郁障碍 患病率 流行病学调查 

分 类 号：R749.4[医药卫生—神经病学与精神病学]