發(fā)布時(shí)間：2018-01-21 08:13

  本文關(guān)鍵詞： 精神疾病 流行病學(xué) 現(xiàn)患率 遼寧省　出處：《中國(guó)公共衛(wèi)生》2017年12期 　論文類型：期刊論文

【摘要】：目的了解遼寧省城鄉(xiāng)居民各類精神障礙現(xiàn)患率及分布特點(diǎn),為制定遼寧省精神衛(wèi)生規(guī)劃提供客觀依據(jù)。方法 2014年10月—2015年6月,采用多階段分層整群隨機(jī)抽樣方法 ,在遼寧省7個(gè)地級(jí)市隨機(jī)抽取24000人為研究對(duì)象,應(yīng)用增補(bǔ)后的一般健康問卷(GHQ-12)進(jìn)行篩查,分為精神障礙高、中、低危險(xiǎn)3組,由精神科醫(yī)生用美國(guó)精神障礙診斷與統(tǒng)計(jì)手冊(cè)(DSM-IV)軸I障礙臨床定式檢查(SCID-I/P)依次對(duì)100%、40%和10%的3組調(diào)查對(duì)象進(jìn)行診斷檢查。結(jié)果有效調(diào)查19733人(82.22%),其中精神障礙的總現(xiàn)患率(最近一個(gè)月)為14.05%,女性12.93%,男性15.47%;城市人群13.04%,農(nóng)村人群14.83%;30~50歲及60歲年齡段是多種精神障礙的高發(fā)年齡;心境障礙(4.57%)、焦慮障礙(3.63%)、物質(zhì)使用障礙(2.29%)是3個(gè)最常見的疾病診斷組,酒精使用障礙(2.29%)、抑郁障礙(2.28%)是患病率最高的2種精神障礙。結(jié)論遼寧省精神障礙的現(xiàn)患率較高,精神問題已經(jīng)成為關(guān)注的公共精神問題。
[Abstract]:Objective to investigate the prevalence and distribution of mental disorders among urban and rural residents in Liaoning Province, and to provide an objective basis for the formulation of mental health planning in Liaoning Province. Methods from October 2014 to June 2015. Using multi-stage stratified cluster random sampling method, 24000 people were randomly selected from 7 prefectural cities in Liaoning Province, and then the supplementary general health questionnaire (GHQ-12) was used for screening. They were divided into 3 groups: high, middle and low risk of mental disorder. SCID-I / P was used by psychiatrists for the diagnosis and statistics of mental disorders in the United States (DSM-IVI), and SCID-I / P was used in 100% cases. Three groups of subjects were examined in 40% and 10%. Results 19733 patients were investigated effectively. The total prevalence rate of mental disorders was 14.05% in the last month. Women 12.93, men 15.47; Urban population 13.04 and rural people 14.83; The age of 30 or 60 years old is the high incidence age of many kinds of mental disorders. Mood disorder 4.57, anxiety disorder 3.63, substance use disorder 2.29) are the three most common disease diagnosis group, alcohol use disorder 2.29). Conclusion the prevalence rate of mental disorders in Liaoning Province is high, and mental problems have become a public mental problem.
【作者單位】： 中國(guó)醫(yī)科大學(xué)附屬第一醫(yī)院精神醫(yī)學(xué)科;遼寧省精神衛(wèi)生中心;沈陽(yáng)市精神衛(wèi)生中心;大連市第七人民醫(yī)院;鞍山市康寧醫(yī)院;鞍山市精神康復(fù)醫(yī)院;撫順市第五人民醫(yī)院;撫順市煤礦腦科醫(yī)院;丹東市第三醫(yī)院;錦州市康寧醫(yī)院;
【分類號(hào)】：R181.3;R749
【正文快照】： 精神健康是健康的重要組成部分[1]。根據(jù)世界精神衛(wèi)生組織對(duì)全球疾病負(fù)擔(dān)研究結(jié)果顯示,精神障礙造成的疾病負(fù)擔(dān)日趨嚴(yán)重,疾病總負(fù)擔(dān)的1/5是由精神障礙和自殺所引起的[2-4]。遼寧省在2004—2005年開展一次大樣本精神疾病流行病學(xué)調(diào)查[5],但沒有涵蓋精神病性障礙。為了解遼寧省，

本文編號(hào)：1450949