内蒙古自治区成人焦虑障碍现况调查  

A cross-sectional study of anxiety disorders in adults in Inner Mongolia Autonomous Region

作　　者：王欣 陈丽霞[1] 张婷婷[2] 吕萍 吕东升 刘肇瑞[2] 严洁 王瑞琪 丁华 白银霞[1] 黄悦勤[2] 隋晓杰 WANG Xin;CHEN Lixia;ZHANG Tingting;LYU Ping;LYU Dongsheng;LIU Zhaorui;YAN Jie;WANG Ruiqi;DING Hua;BAI Yinxia;HUANG Yueqin;SUI Xiaojie(Mental Health Institute of Inner Mongolia Autonomous Region,the Third Hospital of Inner Mongolia Autonomous Region,the Brain Hospital of Inner Mongolia Autonomous Region,Hohhot 010010,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;Inner Mongolia Autonomous Region Health committee,Hohhot 010010,China)

机构地区：[1]内蒙古自治区精神卫生中心,内蒙古自治区第三医院,内蒙古自治区脑科医院,呼和浩特010010 [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 [4]内蒙古自治区卫生健康委员会,呼和浩特010010

出　　处：《中国心理卫生杂志》2025年第5期385-391,共7页Chinese Mental Health Journal

基　　金：内蒙古自治区应用技术研究与开发资金计划(201702150、201802142)。

摘　　要：目的:描述内蒙古自治区焦虑障碍的患病率及其分布特点,并探讨焦虑障碍发生的相关因素。方法:2019年6月-2019年12月以分层多阶段不等概率的复杂抽样方法在内蒙古自治区18岁及以上居民中抽样,采用复合性国际诊断交谈表3.0进行入户访谈,按照DSM-IV为诊断标准做出焦虑障碍诊断,采用χ2检验和多因素logistic回归分析进行统计分析。结果:12315人完成调查,任何一类焦虑障碍加权12月患病率为4.64%,终生患病率为6.25%。焦虑障碍12月患病率女性高于男性(5.38%vs.3.92%),农村高于城市(5.67%vs.3.95%),有慢病者高于无慢病者(6.81%vs.2.29%)。Logistic回归分析结果显示,未婚(OR=2.32,95%CI:1.31~4.10),分居/离婚(OR=2.49,95%CI:1.33~4.67),负债(OR=1.55,95%CI:1.04~2.32),有慢病(OR=2.22,95%CI:1.39~3.53),有焦虑障碍家族史(OR=12.05,95%CI:8.78~16.53),入睡情况不好(OR=2.64,95%CI:1.97~3.54)是焦虑障碍发生的危险因素,初中(OR=0.65,95%CI:0.44~0.96)是焦虑障碍发生的保护因素。结论:内蒙古自治区成人中焦虑障碍的高危人群为患有慢病、入睡情况不好、未婚或分居/离婚、有焦虑障碍家族史以及负债者。Objective:To describe the prevalence of anxiety disorders and its distribution in Inner Mongolia Autonomous Region,and to explore the relevant factors of anxiety disorders.Methods:From June 2019 to December 2019,representative multi-stage disproportionate stratified sampling procedure was used to sample in residents aged 18 and over in the Inner Mongolia Autonomous Region.All respondents were face-to-face interviewed by trained interviewers.Composite International Diagnostic Interview-3.0(CIDI-3.0)was used to diagnose anxiety disorders according to the criteria and definition of the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-IV).Chi-square test and multivariate logistic regression analysis were used for statistical analysis.Results:Totally 12315 people were interviewed in the survey.The weighted 12-mouth prevalence rate of any anxiety disorder was 4.64%,and the lifetime prevalence rate was 6.25%.The weighted 12-month prevalence rate of anxiety disorders was higher in female than that in male(5.38%vs.3.92%).The rate was higher in rural residents than that in urban residents(5.67%vs.3.95%).The rate was higher in people with chronic diseases than that in people without chronic diseases(6.81%vs.2.29%).Logistic regression analysis showed that unmarried(OR=2.32,95%CI:1.31-4.10),separated/divorced(OR=2.49,95%CI:1.33-4.67),in debt(OR=1.55,95%CI:1.04-2.32),chronic disease(OR=2.22,95%CI:1.39-3.53),family history of anxiety disorders(OR=12.05,95%CI:8.78-16.53),poor sleep(OR=2.64,95%CI:1.97-3.54)were risk factors of occurrence of anxiety disorders,while junior high school(OR=0.65,95%CI:0.44-0.96)was protective factor of anxiety disorders.Conclusion:Adults with chronic diseases,poor sleep,unmarried or separated/divorced,family history of anxiety disorders,and financial debt are at higher risk groups of anxiety disorder in Inner Mongolia Autonomous Region.

关 键 词：焦虑障碍 患病率 相关因素 现况调查 

分 类 号：R181.32[医药卫生—流行病学] R749.72[医药卫生—公共卫生与预防医学]