徐州市大学生抑郁障碍的流行病学特点  

Epidemiological survey of depression disorder in college students in Xuzhou city

作　　者：朱相华[1,2] 周勤[1,2] 王亚萍[1,2] 李群[1,2] 王成东[1,2] 乔娟[1,2] 梁光利[1,2] 赵后锋[1,2] 杨永杰[1,2] 耿德勤[3] 

机构地区：[1]徐州市东方人民医院 [2]徐州医学院附属徐州东方医院,江苏221004 [3]徐州医学院

出　　处：《临床精神医学杂志》2012年第6期365-367,共3页Journal of Clinical Psychiatry

基　　金：江苏省卫生厅医学科研面上项目(H200876)

摘　　要：目的:了解徐州市在校大学生抑郁障碍的患病率及其分布特点。方法:采用整群抽样方法,在徐州市选取某两所高校的在校大学生1541人,使用贝克抑郁自评问卷(BDI)、焦虑自评量表(SAS)以及自杀意念量表进行筛查,由精神科医生采用美国精神障碍诊断与统计手册轴Ⅰ障碍定式临床检查患者版对危险人群进行调查,作出有无精神障碍及具体诊断。结果:完成调查1527人,调整后抑郁障碍的总患病率为5.63%(95%CI:4.47～6.79),其中重性抑郁障碍3.11%(95%CI:2.24～3.98),心境恶劣障碍0.38%(95%CI:0.07～0.69),未特定抑郁障碍2.15%(95%CI:1.42～2.88)。女生患病率(4.67%)低于男生(7.29%)(OR=0.64,95%CI:0.43～0.96),理工类学生患病率(4.58%)低于医学类学生(7.11%)(OR=0.64,95%CI:0.42～0.98)。结论:徐州市大学生抑郁障碍患病率与国内外研究接近,抑郁障碍是大学生常见的心理问题。Objective：To describe the prevalence and distribution of depression disorder in college students in Xuzhou city.Method：Through cluster sampling,1 541 college students from 2 colleges in Xuzhou city were screened by Beck depression rating scale（BDI）,self-rating anxiety scale（SAS） and suicide ideation scale（SIS）.Subjects were classified as high or low risk of having a mental disorder and then psychiatrists determined their diagnoses by administering the Structured Clinical Interview for DSM-Ⅳ-RT（SCID-I/P）.The estimated prevalence was adjusted by sample characteristic.Results：Totally 1 527 individuals completed the screening.The overall prevalence of depression disorder was 5.63%（95%CI：4.47~6.79）.The prevalence rates of diagnostic groups of disorders were as follows：major depressive disorder 3.11%（95%CI：2.24~3.98）,dysthymic disorder 0.38%（95%CI：0.07~0.69）,unspecific depression disorder 2.15%（95%CI：1.42~2.88）.The prevalence of depression disorder was much lower in females than in males（4.67% vs 7.29%,OR=0.64,95%CI：0.43~0.96）,and was much lower in polytechnic students than in medical students（4.58% vs 7.11%,OR=0.64,95%CI：0.42~0.98）.Conclusion：The prevalence of depression disorder in college students in Xuzhou city is close to the same kind survey abroad and the domestic＇s.Depression disorder is a common psychological problem among college students.

关 键 词：抑郁障碍 患病率 流行病学 大学生 

分 类 号：R749[医药卫生—神经病学与精神病学]