中国10地区30～79岁成人广泛性焦虑障碍的相关因素  

Related factors to generalized anxiety disorder among adults aged 30-79 years from 10 China regions

作　　者：余灿清[1] 吕筠[1] 陈怡平[2] 郭彧 SHERLIKER Paul 卞铮 周汇燕 谭云龙 陈君石 陈铮鸣[2] 李立明[1,3] 

机构地区：[1]北京大学公共卫生学院流行病与卫生统计学系,北京100191 [2]牛津大学 [3]中国医学科学院,北京102308 [4]国家食品安全风险评估中心,北京10002

出　　处：《中国心理卫生杂志》2015年第8期581-586,共6页Chinese Mental Health Journal

基　　金：国家自然科学基金(81202266;81390541);香港Kadoorie Charitable Foundation;英国Wellcome Trust(088158/Z/09/Z);国家科技支撑项目(2011BAI09B01)

摘　　要：目的：对我国10地区30~79岁人群广泛性焦虑障碍（GAD）的相关因素进行分析,了解GAD患者的治疗现状,为有效开展GAD防治工作提供参考根据。方法：利用中国慢性病前瞻性研究2004-2008年在10个地区以社区为基础的基线调查样本,通过世界卫生组织简版复合性国际诊断访谈表（CIDI-SF）诊断12月内发生GAD的情况,采用logistic回归模型分析不同人口社会学特征与GAD之间的关联,采用χ2检验和非参数方法比较不同人群GAD治疗情况的差异。结果：在512 891人有效样本中,共有677人（1.32‰）在过去12月内发生过GAD。农村、女性、未在婚状态、低教育程度以及低家庭收入等人群中GAD患病率较高。GAD患者出现的症状比例和个数无性别差异,除男性在＂工作及学习方面＂和＂社会人际关系方面＂高于女性（P〈0.05）外,其他焦虑内容无性别差异。有45.49%的GAD患者表示生活和日常活动受到严重影响,但接受抗焦虑药物的比率较低（13.15%）。约1/3的GAD患者没有寻求过任何帮助。结论：我国成人GAD现患率在不同地区、不同性别、婚姻状况、教育程度和家庭收入等社会人口学特征的人群中存在差异,GAD患者接受药物治疗和寻求心理社会帮助的比例较低。Objective： To describe the socio-demographic factors related to generalized anxiety disorder （GAD） among Chinese adults aged 30 -79 years. Methods： The sample was from the China Kadoorie Biobank study during 2004 - 2008, and inclued 512 891 community-based Chinese people aged 30 - 79 years. By using the World Health Organization Composite International Diagnostic Interview-Short Form （CIDI-SF）, diagnosis of GAD was made according to Diagnostic and Statistical Manual of Mental Disorder IV （DSM-IV） criteria. Results： A total of 677 （1.32%0） participants were diagnosed as having GAD in the preceding 12 months. Female, rural area, not being married, lower-level education and household income were associated with a higher prevalence of GAD. A proportion of 45.49% GAD patients reported the worry or anxiety interfered severely with their life of activities, but only 13.15% bad taken anxiolytics. About one third of GAD patients didn＇t seek any social support from doctors, other professionals, or their family and relatives. Conclusion： The 12-month prevalence of GAD may be varied in different gender, marital status, education attainment, and household income among Chinese adults. The rates of seeking help and taking anxiolytics are probably lower in GAD patients.

关 键 词：广泛性焦虑障碍 成人 人口社会学特征 简版复合性国际诊断交谈表 现况调查 

分 类 号：R749.72[医药卫生—神经病学与精神病学]