乌鲁木齐市心境障碍现况调查  

A cross-sectional study of mood disorder in Urumqi

作　　者：马燕娟[1] 李媛媛 热依汗古丽·阿不来提 黄悦勤[2] 严洁 陈亮[1] 张婷婷[2] 丁华 古力努尔·艾比不拉 马超 吕萍 徐向东[1] 刘肇瑞[2] MA Yanjuan;LI Yuanyuan;ABULAITI Reyihanguli;HUANG Yueqin;YAN Jie;CHEN Liang;ZHANG Tingting;DING Hua;AIBIBULA Gulinuer;MA Chao;LYU Ping;XU Xiangdong;LIU Zhaorui(The Fourth People's Hospital in Urumqi,Uumqi 830002,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;Institute of Social Science Survey,Peking University,Beijing 100871,China)

机构地区：[1]乌鲁木齐市第四人民医院,乌鲁木齐830002 [2]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [3]北京大学中国社会科学调查中心,北京100871

出　　处：《中国心理卫生杂志》2022年第12期999-1004,共6页Chinese Mental Health Journal

基　　金：卫生行业科研专项基金(201202022);乌鲁木齐市科学技术局项目(Y131320021)。

摘　　要：目的:描述乌鲁木齐市18岁及以上人群心境障碍的患病率及分布特征。方法:计算乌鲁木齐市精神卫生调查的各类心境障碍加权终生患病率及12月患病率,采用X^(2)检验比较心境障碍终生患病率.及12月患病率的性别、年龄、婚姻状态、受教育程度及收入水平分布的差异。结果:共调查1782人,心境障碍终生患病率及12月患病率分别为5.54%和2.60%。抑郁障碍未特定患病率最高,其次是抑郁症,双相障碍的患病率最低。心境障碍12月患病率年龄和收入水平分布的差异有统计学意义(P<0.05),65岁及以上人群12月患病率高于35~49岁人群(9.90%vs.1.54%),高收入人群12月患病率高于低收入人群(5.19%vs.0.99%)。心境障碍终生患病率年龄分布的差异有统计学意义(P<0.001),18~34岁和65岁及以上人群(分别为8.36%和13.70%)的终生患病率高于35~49岁和50~64岁人群(分别为1.71%和2.48%)。结论:65岁及以上老年群体、18~34岁青年群体以及高收入群体心境障碍患病率较高,是应当重视的高危人群,社区中的抑郁障碍未特定类别的患者应予以关注。Objective:To describe the prevalence and distributions of mood disorder in community residents aged 18 years and over in Urumqi.Methods:The weighted lifetime prevalence and 12-month prevalence of mood disorder in Urumqi Mental Health Survey were calculated,and distributions in different gender,age groups,marital status,education levels,and income levels were compared using X^(2) test Results:There were 1782 respondents in the survey.The lifetime prevalence and 12-month prevalence of mood disorder were 5.54% and 2.60%,respectively.The prevalence of depressive disorder not otherwise specified was hi ghest,followed by major depressive disorder.The prevalence of bipolar disorder was lowest The 12-month prevalence of mood disorder showed statistical differences by age and income(P<0.05).The 12-month prevalence of mood disorder in people aged 65 years and over was higher than that in people aged 35 to 49 years(9.90%vs.1.54%).The 12-month prevalence of people with the highest income level was higher than that of the lowest group(5.19%vs.0.99%).The lifetime prevalence of mood disorder showed statistical differences by age(P<0.001).The prevalence rates were higher in people aged 18 to 34 years and 65 years and over(8.36% and 13.70%)than in people aged 35 to 49 years and aged 50 to64 years(1.71% and 2.48%).Conclusions:More attention should be paid to people aged 65 years and over,younger population aged 18 to 34 years,and those with higher income level,as these high-risk population have higher prevalence of mood disorder than other groups.Patients with depressive disorder not otherwise specified in the community should also be considered seriously.

关 键 词：心境障碍 患病率 现况调查 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R181.32[医药卫生—临床医学]