天水市60岁及以上人群各类精神疾病流行病学现况调查

Epidemiological survey of mental disorders in the people aged 60 years and above in Tianshui

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

甘肃省天水市第三人民医院 ;

摘要
[摘要] 为了解天水市60岁及以上人群各类精神疾病患病率、人口学特征及社会生活功能状况。方法 2014年11月-2015年5月采用多阶段分层整群抽样方法随机抽取≥60岁人群,共2430名。用扩展的一般健康问卷(GHQ-12)进行筛查,以美国精神障碍诊断与统计手册 (DSM-IV)轴Ⅰ障碍定式临床检查患者版进行调查,用DSM-IV对各年龄段各类精神障碍进行诊断。采用大体功能评定量表(GAF)评价功能状态。结果①患病率:2416人完成调查,精神障碍的时点患病率为177.14‰[95%可信区间(95%CI)为12.43%~25.25%],排在前三位的是重型抑郁障碍(87.73‰)、缘于躯体状况的心境障碍(26.33‰)和未特定焦虑障碍(15.80‰);终生患病率为192.28‰(95%CI为13.53%~27.32%)。②时点患病率:女性(212.96‰)高于男性(142.9‰),城市(238.31‰)高于农村(166.46‰);患病率随年龄的增长而不断下降,其中60-69岁为221.03‰,70-79岁为150.43‰,80岁及以上为110.34‰。结论 甘肃省天水市60岁及以上人群精神障碍患病率较高,心境障碍是特别需要关注的问题。
Abstract
[Abstract] Objective  To investigate the prevalence、demographic characteristics and social life function of mental disorders in the people aged 60 years and above in Tianshui.Methods From November 2014 to May 2015, Using multi-stage stratified cluster random sampling method people aged 60 years and above, a total of 2430. By the extended version general health questionnaire (GHQ-12) and the Structured Clinical Interview for DSM-IV-TR (SCID-I/P), we screened and diagnosed all of the people who were included in the population. Using the general functional rating scale (GAF) evaluation function. Results ①Total 2416 subjects were completed the survey. The adjusted current prevalence of any mental disorder was 177.14‰(95%CI:12.43%~25.25%).The three most prevalence specific disorder were major depressive disorder(87.73‰)、due to the body condition of mood disorders(26.33‰) and not otherwise specified anxiety disorder(15.80‰). The lifetime prevalence of mental disorders was 192.28‰(95%CI:13.53%~27.32%).②The time point prevalence:The overall current prevalence of mental disorders was higher in women(212.96‰)than in men(142.9‰),and in urban residents(238.31‰)higher than in rural residents(166.46‰). The prevalence rate decreased with the increase of age,among which 60-69 years old was 221.03‰, 70-79 years was 150.43‰and 80 years and above was 110.34‰.Conclusions  Tianshui in the people aged 60 years and above mental disorder prevalence is higher. Mood disorder are conditions that deserve special attention.
关键词
精神障碍;患病率;现况调查;天水市
KeyWord
Mental disorders;Prevalence;Epidemiologic studies
基金项目
页码 483-486
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颉瑞*,王刚平,裴根祥,丁志杰,张永录,杜鹤宇,王军,李刚,洪贵子,温钧,魏长礼,杨杰,缑彦虎,王海龙. 天水市60岁及以上人群各类精神疾病流行病学现况调查 [J]. 国际精神病学杂志. 2018; 45; (3). 483 - 486.

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