【摘要】：目的:了解長沙地區(qū)居民酒精使用障礙與心境障礙共病的患病情況。方法:采用多階段整群抽樣方法,對15歲及以上人群進(jìn)行入戶調(diào)查,共抽樣12 475人。以增補(bǔ)后的一般健康問卷12(GHQ-12)為篩選工具,將調(diào)查對象分為患精神疾病高、中、低危險組。以美國精神障礙診斷與統(tǒng)計(jì)手冊第4版(DSM-IV)軸Ⅰ障礙定式臨床檢查病人版(SCID-I/P)為診斷工具。12 094人完成GHQ-12,2351人完成SCID-I/P,對這2351名居民中酒精使用障礙和心境障礙的共患情況進(jìn)行分析。結(jié)果:酒精使用障礙和心境障礙的時點(diǎn)患病率分別為1.76%(46/2351)和6.01%(141/2351)。酒精使用障礙患者有心境障礙者占60.9%(28/46),心境障礙患者有酒精使用障礙者為19.9%(28/141)。控制年齡、性別、居住地、受教育程度、家庭年收入以后,酒精使用障礙患者發(fā)生心境障礙的風(fēng)險性高于非現(xiàn)患酒精使用障礙者(OR=33.54,95%CI:17.52~64.20);心境障礙患者發(fā)生酒精使用障礙的風(fēng)險性高于非現(xiàn)患心境障礙者(OR=35.11,95%CI:18.02~68.39)。結(jié)論:酒精使用障礙與心境障礙容易發(fā)生共患,應(yīng)引起精神衛(wèi)生工作者的重視。
[Abstract]:Objective: to investigate the prevalence of alcohol use disorder and mood disorder in Changsha residents. Methods: a total of 12475 people aged 15 and over were investigated by multi-stage cluster sampling. Using the supplementary general health questionnaire 12 (GHQ-12) as a screening tool, the subjects were divided into three groups: high, middle and low risk groups with mental illness. Using the fourth edition (DSM-IV) of the American Manual of diagnosis and Statistics of Mental Disorder (SCID-I/P) as a diagnostic tool. 12,094 people completed GHQ-12,2351 and completed SCID-I/P,. The co-occurrence of alcohol use disorder and mood disorder in these 2351 residents was analyzed. Results: the prevalence rates of alcohol use disorder and mood disorder were 1.76% (46 鈮，

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