长沙地区中小学生焦虑障碍患病率调查  

Epidemiological investigation of anxiety disorders in primary and middle school students in Changsha area

作　　者：叶海森[1] 罗学荣[2] 袁秀红[2] 韦臻[2] 管冰清[2] 宁志军 

机构地区：[1]湖南省脑科医院,湖南长沙410015 [2]中南大学湘雅二医院精神卫生研究所,湖南长沙410011 [3]永州市精神病医院,湖南永州425006

出　　处：《新乡医学院学报》2013年第10期814-816,共3页Journal of Xinxiang Medical University

基　　金：高等学校博士学科点专项科研基金资助项目(编号:20070533064)

摘　　要：目的了解焦虑障碍在长沙地区中小学生中的分布特征及患病情况。方法采用二阶段设计及分层随机抽样方法,以美国精神疾病诊断与统计手册第4版为诊断标准,用儿童情感障碍与精神分裂症量表调查长沙城区和浏阳、宁乡农村地区5~17岁中小学生共2 561例的焦虑障碍患病情况。结果焦虑障碍总时点患病率为3.63%;城乡间、性别间焦虑障碍患病率比较差异无统计学意义（P〉0.05）。青少年社交恐惧症和广泛性焦虑障碍患病率高于儿童（P〈005）。焦虑障碍常见的并发症有对立违抗性障碍、注意缺陷/多动障碍、学习障碍、抑郁症/心境恶劣障碍等。结论焦虑障碍在长沙地区中小学生中比较常见,青少年患病率高于儿童。Objective To explore the characteristics and prevalence of anxiety disorders in primary school and middle school in Changsha area.Methods Using a two-phase design and the stratified random sample,2 561 cases of students in Changsha city proper,Liuyang and Ningxiang rural areas,aged 5-17 years old,were assessed by diagnostic and statistical manual of mental disorders-Ⅳ,and the prevalence of anxiety disorders was investigated by the kiddy schedule for affective diseases and schizophrenia.Results The prevalence rate of anxiety disorders was 3.63%.There was no significant difference in prevalences between urban and rural areas and different gender（P0.05）.The prevalence of social phobia and generalized anxiety disorder in adolescents was higher than that in children（P0.05）.The comorbidity of oppositional defiant disorder, attention deficit hyperactive disorder,learning disorder and depression was common in primary and middle school students with anxiety disorders.Conclusion The anxiety disorders are common in primary and middle school students in Changsha area, and the prevalence of anxiety disorders in adolescents is higher than that in children.

关 键 词：流行病学调查 焦虑障碍 患病率 

分 类 号：R749.94[医药卫生—神经病学与精神病学]