長(zhǎng)沙地區(qū)社區(qū)人群中酒精使用障礙與心境障礙的共病
發(fā)布時(shí)間：2019-05-29 17:24
【摘要】：研究目的：本次調(diào)查采用橫斷面調(diào)查研究長(zhǎng)沙地區(qū)社區(qū)人群中心境障礙和酒精使用障礙的單病和共病狀態(tài)的患病率及影響因素,以探索疾病的危險(xiǎn)因素,從而為制訂相關(guān)預(yù)防控制對(duì)策和措施提供依據(jù)。 對(duì)象與方法：數(shù)據(jù)來源于長(zhǎng)沙地區(qū)精神衛(wèi)生調(diào)查中收集的2010年至2012年的流行病學(xué)資料,對(duì)長(zhǎng)沙地區(qū)城鄉(xiāng)居民采用多階段、系統(tǒng)整群抽樣的方法隨機(jī)抽取受試對(duì)象,以增補(bǔ)后的一般健康問卷12項(xiàng)(GHQ-12)為篩選工具,選用《美國(guó)精神疾病診斷與統(tǒng)計(jì)手冊(cè)》第四版(DSM-Ⅳ)為診斷標(biāo)準(zhǔn),以四川大學(xué)華西醫(yī)院心理衛(wèi)生研究所翻譯、北京回龍觀醫(yī)院臨床流行病學(xué)研究室修訂的《DSM-Ⅳ-TR軸Ⅰ障礙定式臨床檢查》(SCID-I/P)病人版為本次調(diào)查的診斷工具,分別調(diào)查心境障礙和酒精使用障礙的單病和共病狀態(tài)的時(shí)點(diǎn)患病率與終生患病率、患病率分布情況以及探討影響因素,對(duì)結(jié)果采用SPSS18.0進(jìn)行統(tǒng)計(jì)分析,并使用卡方檢驗(yàn)和Logistic回歸方法比較了單病、共病與無病者,以及單病與共病者之間的社會(huì)人口學(xué)的特征。 結(jié)果： 1.長(zhǎng)沙地區(qū)酒精使用障礙和心境障礙在普通人群中的患病率分別為1.76%和6.01%。 2.長(zhǎng)沙地區(qū)普通人群中酒精使用障礙患者中心境障礙患病率60.9%,心境障礙患者中酒精使用障礙患病率為19.9%�？刂颇挲g、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(xiǎn)性是不現(xiàn)患酒精使用障礙者的33.54倍(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(xiǎn)性是不現(xiàn)患心境障礙者的35.51倍(OR=35.51,95%CI=18.02-68.39)。 3.長(zhǎng)沙地區(qū)男性患者中酒精使用障礙患病率(88.9%)高于女性(11.1%),且男性酒精使用障礙者共病心境障礙患病率(78.6%)高于女性(21.4%),但女性單純心境障礙患病率(57.5%)高于男性(42.5%),提示對(duì)男性要重點(diǎn)預(yù)防酒精使用障礙的單病和共病狀態(tài)。 4.在酒精使用障礙患者中,患病率最高的心境障礙是心境惡劣障礙和重性抑郁障礙,在本研究中,患有酒精使用障礙的個(gè)體中心境惡劣障礙的患病率為28.3%,重性抑郁障礙的患病率是21.7%；心境惡劣障礙中的酒精使用障礙的患病率也為28.3%。酒精使用障礙者發(fā)生心境惡劣障礙的風(fēng)險(xiǎn)性是不患酒精使用障礙者的26.85倍,而發(fā)生重性抑郁障礙的風(fēng)險(xiǎn)性是不患酒精使用障礙者的16.34倍,說明酒精使用障礙者更易于發(fā)生心境惡劣障礙。 5.患有心境障礙者發(fā)生酒精依賴的風(fēng)險(xiǎn)性是不患心境障礙者的37.89倍,發(fā)生酒精濫用的風(fēng)險(xiǎn)性是不患心境障礙者的15.25倍,說明心境障礙患者易于發(fā)生酒精依賴。其中心境惡劣障礙和雙相障礙患者中酒精使用障礙的比例均超過25%,尤其心境惡劣障礙患者發(fā)生酒精使用障礙的風(fēng)險(xiǎn)性是不患心境惡劣障礙者的50倍。心境惡劣障礙患者最易發(fā)生酒精使用障礙。 6.家庭收入是影響個(gè)體患有心境障礙和酒精使用障礙的重要因素,家庭收入高者,患心境障礙或酒精使用障礙的危險(xiǎn)性可能相對(duì)較小。 結(jié)論：酒精使用障礙者與心境障礙容易共患病,應(yīng)引起精神衛(wèi)生工作者的重視,長(zhǎng)沙地區(qū)社區(qū)人群中精神疾病的共病率較高,在有首發(fā)疾病的人群中進(jìn)行干預(yù),預(yù)防共病的出現(xiàn),可以降低精神疾病的負(fù)擔(dān)。
[Abstract]:The purpose of this study was to investigate the prevalence and the factors of the disease and the risk factors of the disease and the risk factors of the disease, and to provide the basis for the development of relevant prevention and control measures and measures. PARTICIPANTS AND METHODS: The data is derived from the epidemiological data collected from the mental health survey in Changsha area from 2010 to 2012, and a multi-stage and systematic cluster sampling method is adopted for the urban and rural residents in Changsha. In addition,12 items (GHQ-12) of the revised general health questionnaire (GHQ-12) were selected as screening tools, and the diagnostic criteria were selected for the Diagnostic and Statistical Manual of the American Psychiatric Disorders and the fourth edition (DSM-IV), which was turned over by the Institute of Mental Health of the West China Hospital of Sichuan University. The clinical epidemiology research laboratory of Beijing Huilongguan Hospital, which is revised by the Clinical Epidemiology Research Office of the Hospital, is a diagnostic tool for this investigation. The prevalence of the time point of the single and co-disease states of the mood disorder and the alcohol use disorder is the same as that of the whole life. The distribution of rate, prevalence and the influencing factors were discussed. The results were analyzed by SPSS18.0. The results of Chi-square and Logistic regression were used to compare the social and demographic characteristics between the single disease, the common disease and the disease-free, and the single-disease and the co-disease. Sign. Results:1. The prevalence of alcohol use and mood disorders in the long-sand region were 1.76% and 1.76%, respectively. 6.01%.2. The prevalence of mood disorders in patients with alcohol use disorders in the general population in the long-sand region was 60.9%, and alcohol use disorders in patients with mood disorders were ill. The rate was 19.9%. Control age, gender, place of residence, degree of education and family income, the risk of mood disorders in patients with alcohol use was 33.54-fold (OR = 33.54,95% CI = 17.52) -64.20); the risk of alcohol-use disorders in patients with mood disorders is 35.51-fold (OR = 35.51,95% CI = 18.02) -68.39).3. The prevalence of alcohol use disorders in male patients in Changsha (88.9%) was higher than that of female (11.1%), and the prevalence of common disease (78.6%) in male patients was higher than that of female (21.4%), but the prevalence of women's simple mood disorders (57.5%) was higher than that of female (21.4%). Male (42.5%), suggesting that men should focus on the prevention of alcohol use 4. Among the patients with alcohol use disorders, the highest prevalence of mood disorders is a dysthymic disorder and a major depressive disorder. In this study, the prevalence of severe disorders in the individual centres with alcohol use disorders is 28.3% and the major depressive disorder The prevalence of obstruction is 21.7%; an obstacle to the use of alcohol in dysthymia The prevalence of dysthymia was 28.3%. The risk of dysthymia in the patients with alcohol use was 26.85 times that of those who had no alcohol use, and the risk of the major depressive disorder was 16.34 times that of those who had no alcohol use, which indicated that the use of alcohol was an obstacle to the use of alcohol. 5. The risk of alcohol dependence in patients with mood disorders is 37.89 times that of those who do not have a mood disorder, and the risk of alcohol abuse is 15.25 times that of those who do not have a mood disorder, indicating the heart The risk of alcohol use disorders in patients with dysthymia and bipolar disorder is more than 25%, especially in patients with severe dysthymia. 50 times of a person who is not in the condition of a poor state of mind, with a bad mood. 6. Household income is an important factor that affects the individual's mood disorder and alcohol use disorder, and the higher the family income, the mood disorder or the wine Conclusion: The risk of fine-use disorder may be relatively small. Conclusion: The disorder of alcohol use is easy to be co-morbid with the mood disorder, and the attention of the mental health worker should be brought to the attention of the mental health worker. Interventions and prevention in the population of the disease
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R749
本文編號(hào)：2488086
[Abstract]:The purpose of this study was to investigate the prevalence and the factors of the disease and the risk factors of the disease and the risk factors of the disease, and to provide the basis for the development of relevant prevention and control measures and measures. PARTICIPANTS AND METHODS: The data is derived from the epidemiological data collected from the mental health survey in Changsha area from 2010 to 2012, and a multi-stage and systematic cluster sampling method is adopted for the urban and rural residents in Changsha. In addition,12 items (GHQ-12) of the revised general health questionnaire (GHQ-12) were selected as screening tools, and the diagnostic criteria were selected for the Diagnostic and Statistical Manual of the American Psychiatric Disorders and the fourth edition (DSM-IV), which was turned over by the Institute of Mental Health of the West China Hospital of Sichuan University. The clinical epidemiology research laboratory of Beijing Huilongguan Hospital, which is revised by the Clinical Epidemiology Research Office of the Hospital, is a diagnostic tool for this investigation. The prevalence of the time point of the single and co-disease states of the mood disorder and the alcohol use disorder is the same as that of the whole life. The distribution of rate, prevalence and the influencing factors were discussed. The results were analyzed by SPSS18.0. The results of Chi-square and Logistic regression were used to compare the social and demographic characteristics between the single disease, the common disease and the disease-free, and the single-disease and the co-disease. Sign. Results:1. The prevalence of alcohol use and mood disorders in the long-sand region were 1.76% and 1.76%, respectively. 6.01%.2. The prevalence of mood disorders in patients with alcohol use disorders in the general population in the long-sand region was 60.9%, and alcohol use disorders in patients with mood disorders were ill. The rate was 19.9%. Control age, gender, place of residence, degree of education and family income, the risk of mood disorders in patients with alcohol use was 33.54-fold (OR = 33.54,95% CI = 17.52) -64.20); the risk of alcohol-use disorders in patients with mood disorders is 35.51-fold (OR = 35.51,95% CI = 18.02) -68.39).3. The prevalence of alcohol use disorders in male patients in Changsha (88.9%) was higher than that of female (11.1%), and the prevalence of common disease (78.6%) in male patients was higher than that of female (21.4%), but the prevalence of women's simple mood disorders (57.5%) was higher than that of female (21.4%). Male (42.5%), suggesting that men should focus on the prevention of alcohol use 4. Among the patients with alcohol use disorders, the highest prevalence of mood disorders is a dysthymic disorder and a major depressive disorder. In this study, the prevalence of severe disorders in the individual centres with alcohol use disorders is 28.3% and the major depressive disorder The prevalence of obstruction is 21.7%; an obstacle to the use of alcohol in dysthymia The prevalence of dysthymia was 28.3%. The risk of dysthymia in the patients with alcohol use was 26.85 times that of those who had no alcohol use, and the risk of the major depressive disorder was 16.34 times that of those who had no alcohol use, which indicated that the use of alcohol was an obstacle to the use of alcohol. 5. The risk of alcohol dependence in patients with mood disorders is 37.89 times that of those who do not have a mood disorder, and the risk of alcohol abuse is 15.25 times that of those who do not have a mood disorder, indicating the heart The risk of alcohol use disorders in patients with dysthymia and bipolar disorder is more than 25%, especially in patients with severe dysthymia. 50 times of a person who is not in the condition of a poor state of mind, with a bad mood. 6. Household income is an important factor that affects the individual's mood disorder and alcohol use disorder, and the higher the family income, the mood disorder or the wine Conclusion: The risk of fine-use disorder may be relatively small. Conclusion: The disorder of alcohol use is easy to be co-morbid with the mood disorder, and the attention of the mental health worker should be brought to the attention of the mental health worker. Interventions and prevention in the population of the disease
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R749
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