高级检索
李喜泼. 河北省保定市居民惊恐障碍患病情况分析[J]. 中国公共卫生, 2008, 24(11): 1366-1368. DOI: 10.11847/zgggws2008-24-11-46
引用本文: 李喜泼. 河北省保定市居民惊恐障碍患病情况分析[J]. 中国公共卫生, 2008, 24(11): 1366-1368. DOI: 10.11847/zgggws2008-24-11-46
LI Xi-po. Epidemiological survey of panic disorder in Baoding[J]. Chinese Journal of Public Health, 2008, 24(11): 1366-1368. DOI: 10.11847/zgggws2008-24-11-46
Citation: LI Xi-po. Epidemiological survey of panic disorder in Baoding[J]. Chinese Journal of Public Health, 2008, 24(11): 1366-1368. DOI: 10.11847/zgggws2008-24-11-46

河北省保定市居民惊恐障碍患病情况分析

Epidemiological survey of panic disorder in Baoding

  • 摘要: 目的 了解河北省保定市居民惊恐障碍患病率和分布特点。方法 采用多阶段分层整群抽样方法,随机抽取≥18岁居民10 073人,用扩展的一般健康问卷(GHQ-12)进行心理健康水平调查;分为高、中、低危险组,以美国精神障碍诊断与统计手册-第4版(DSM-Ⅳ)轴ⅳ障碍定式临床检查病人版进行惊恐障碍的诊断;采用大体功能评定量表(GAF)评定心理、社会及职业功能受损状况。结果 完成调查9 021人,惊恐障碍终生患病率为0.60%,时点患病率为0.42%;不伴广场恐惧的惊恐障碍的终生和时点患病率分别为0.55%,0.38%,伴广场恐惧的惊恐障碍分别为0.04%,0.03%。女性时点患病率为0.66%,高于男性的0.15%(P<0.01);农村时点患病率为0.46%,高于城市的0.09%(P<0.01);50~59岁患病率最高,为0.99%;惊恐障碍与其他精神障碍共病占62.5%,惊恐障碍的精神科就诊率为4.17%。结论 惊恐障碍常见于农村女性,共病现象普遍,但专科就诊率低。

     

    Abstract: Objective To descr ibe the prevalence and distribution of panic disorder in Baoding.Methods From Oct.2004 to Mar.2005,stratified multi-stage cluster randomization was used to identify 10073 subjects aged 18 years or over in Baoding.An expanded version of the General Health Questionnaire(GHQ-12)was used to identify subjects athigh,moderate and low risk for having a panic disorder,then psychiatrists made diagnoses according to the fourth edition of Diagnostic and Statistical Manual of Mental Disorder(DSM-Ⅳ)criteria after conducting a Structured Clinical Interview for DSM-Ⅳ -TR Axis ⅳ Disorders-Patient Edition(SCID-I/P).The Global Assessment Function(GAF)was used to assess the rate of psychological,social and vocational functional impairment.Results 9021 subjects completed the screening.The overall lifetime prevalence of panic disorder was 0.60%,and the over all current prevalence of panic disorder was 0.42%.The lifetime and current prevalence of panic disorder without agoraphobia was 0.55% and 0.38%,respectively.The lifetime and current prevalence of panic disorder with agoraphobia was 0.04% and 0.03%,respectively.The current prevalence of panic disorder was higher in female(0.66%)than in male(0.15%)(P<0.01),and in rural(0.46%)than in urban areas(0.09%)(P<0.01).The current prevalence was highest in the subjects aged 50~59 years(0.99%)than others.The rate of panic disorder with comorbid current other mental disorders was 62.5%.A percentage of 4.17% of panic disorder had sought treatment from mental health services.Conclusion Panic disorder was seen frequently in rural women and como rbidity between panic disorder and other mental disorders was common.Only a few of panic disorder had sought treatment from mental health services.

     

/

返回文章
返回