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王哲, 孟宪锋, 任金涛, 王金环, 王明涛, 贡军, 谢守付, 张卫东, 马志勇, 魏雪峰, 克纳新, 李宁, 马文斌. 辽宁省成人精神障碍流行病学调查[J]. 中国公共卫生, 2017, 33(12): 1677-1684. DOI: 10.11847/zgggws2017-33-12-02
引用本文: 王哲, 孟宪锋, 任金涛, 王金环, 王明涛, 贡军, 谢守付, 张卫东, 马志勇, 魏雪峰, 克纳新, 李宁, 马文斌. 辽宁省成人精神障碍流行病学调查[J]. 中国公共卫生, 2017, 33(12): 1677-1684. DOI: 10.11847/zgggws2017-33-12-02
WANG Zhe, MENG Xian-feng, REN Jin-tao.et al, . Prevalence of mental disorders among adult residents in Liaoning province,China[J]. Chinese Journal of Public Health, 2017, 33(12): 1677-1684. DOI: 10.11847/zgggws2017-33-12-02
Citation: WANG Zhe, MENG Xian-feng, REN Jin-tao.et al, . Prevalence of mental disorders among adult residents in Liaoning province,China[J]. Chinese Journal of Public Health, 2017, 33(12): 1677-1684. DOI: 10.11847/zgggws2017-33-12-02

辽宁省成人精神障碍流行病学调查

Prevalence of mental disorders among adult residents in Liaoning province,China

  • 摘要: 目的 了解辽宁省城乡居民各类精神障碍现患率及分布特点,为制定辽宁省精神卫生规划提供客观依据。方法 2014年10月-2015年6月,采用多阶段分层整群随机抽样方法,在辽宁省7个地级市随机抽取24000人为研究对象,应用增补后的一般健康问卷(GHQ-12)进行筛查,分为精神障碍高、中、低危险3组,由精神科医生用美国精神障碍诊断与统计手册(DSM-IV)轴I障碍临床定式检查(SCID-I/P)依次对100%、40%和10%的3组调查对象进行诊断检查。结果 有效调查19733人(82.22%),其中精神障碍的总现患率(最近一个月)为14.05%,女性12.93%,男性15.47%;城市人群13.04%,农村人群14.83%;30~50岁及>60岁年龄段是多种精神障碍的高发年龄;心境障碍(4.57%)、焦虑障碍(3.63%)、物质使用障碍(2.29%)是3个最常见的疾病诊断组,酒精使用障碍(2.29%)、抑郁障碍(2.28%)是患病率最高的2种精神障碍。结论 辽宁省精神障碍的现患率较高,精神问题已经成为关注的公共精神问题。

     

    Abstract: Objective To describe current prevalence and distribution of all types of mental disorders among adult residents in Liaoning province and to provide evidences for developing a provincial mental health plan.Methods Stratified multistage cluster randomization was used to recruit 24 000 urban and rural residents aged 18 years and above in 7 municipalities.All the participants were screened with the expanded version of the General Health Questionnaire (GHQ-12) and assigned into one of the three groups at high,moderate,and low risk of having a mental disorder.Then,based on the criterion of Diagnostic and Statistical Manual of Mental Disorders-4th Edition(DSM-IV),the diagnostic examination was performed by psychiatrists among 100%,40%,and 10% of the participants of the groups with high,moderate,and low risk of having a mental disorder using Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition (SCID-I/P).The survey was carried out between October 2014 and June 2015.Results Of the residents,82.22% (19 733) completed the survey.The adjusted current (in the previous one month) prevalence rate of any mental disorder was 14.05% (95% confidence interval:13.57%-15.47%).The overall prevalence rate of mental disorders was higher in the males (15.46%) than in the females (12.93%),and slightly higher in rural participants (14.83%) than in urban participants (13.04%).Among all the participants,the three most common mental disorders were affective disorder (4.57%),anxiety disorder (3.63%),and substance use disorder (2.88%).Alcohol use disorder (2.86%) and major depression disorder (2.39%) were the most prevalent specific mental disorders.Conclusion The current prevalence rate of mental disorders is relatively high among adult residents and mental disorder has become a major public health problem in Liaoning province.

     

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