河北省秦皇岛市18岁及以上人群精神疾病流行病学调查

目的了解秦皇岛市18岁及以上人群各类精神疾病的时点患病率和分布特点,为制定全市精神卫生规划提供科学依据。方法 2010年11月至12月采用多阶段分层整群抽样方法随机抽取4个县(区)、3个乡镇(街道)、12个村(居委会)中2 750名≥18岁者为调查对象,由精神科护士用扩展的一般健康问卷(GHQ-12)将调查对象分为患精神疾病高、中、低危险组,然后由精神科医生以美国精神障碍诊断标准(DSM-Ⅳ)依次对100%、40%、10%的调查对象进行DSM-Ⅳ-TR轴Ⅰ障碍定式临床检查(SCID),对各类精神障碍进行诊断。结果 2 360名完成筛选,541名完成诊断。调整后精神疾病总时点患病率为14.20%(95%CI为13.73%～14.67%),终生患病率21.39%(CI为17.98%～19.04%)。除精神发育迟滞和痴呆外,各类精神疾病时点患病率为12.00%,终生患病率为19.20%。最常见的疾病为情感障碍(6.67%,6.31%～7.02%)、焦虑障碍(3.46%,3.15%～3.77%)和物质使用障碍(2.03%,1.84%～2.22%)。最常见的特定精神疾病为重性抑郁障碍(2.60%,2.37%～2.82%)、酒精使用障碍(1.99%)、心境恶劣障碍(1.94%)和特殊恐怖症(0.93%)。农村各种精神疾病的时点患病率16.15%,城市15.32%,各类精神疾病的时点患病率女性为8.83%,男性为8.58%。结论精神障碍是严重影响秦皇岛市社会经济发展的、迫切需要解决的公共卫生问题,有必要在全市范围内开展和实施全面性的精神卫生规划并定期评估其效果。

Qinhuangdao epidemiological survey of 18 years of age and people over mental illness

Objective Point prevalence and distribution characteristics understand Qinhuangdao all kinds of mental illness in people over the age of 18,to provide a scientific basis for the development of the city's mental health planning.Methods November 2010 to December 2010,using a multi-stage stratified cluster sampling methods to randomly selected from four counties(cities,districts),three towns(street),12 villages(neighborhood) in 2 750≥18 years of age suffering from mental illness human subject of investigation by the psychiatric nurse with the general Health Questionnaire(GHQ-12) extended the survey subjects were divided into high,medium and low risk groups disorder diagnostic criteria(DSM-Ⅳ,and then to the American spirit by psychiatrists) DSM-Ⅳ-TR axis Ⅰ disorders the Structured Clinical check(SCID),100%,40%,10% of respondents in turn diagnose all kinds of mental disorders.Results Two thousand three hundred and sixty people completed the screening,541 people to complete the diagnosis.Mental illness adjusted total point prevalence rate of 14.20%(95%CI 13.73% to 14.67%),the lifetime prevalence rate of 21.39%(95%CI 17.98% to 19.04%).In addition to mental retardation and dementia,various types of mental illness point in time prevalence rate of 12.00%,the lifetime prevalence rate of 19.20%.The most common diseases of affective disorder(6.67%,6.31% to 7.02%),anxiety disorders(3.46%,3.15% to 3.77%) and substance use disorders(2.03%,1.84% to 2.22%).The most common specific mental illness for major depressive disorder(2.60%,2.37% to 2.82%),alcohol use disorders(1.99%),dysthymic disorder(1.94%) and specific phobia(0.93%).Point prevalence of various mental diseases in rural areas 16.15%,15.32% urban,point prevalence of various mental diseases was 8.83% for women,men 8.58%.Conclusion Mental disorders seriously affect of Qinhuangdao City social and economic development,the urgent need to address the public health problem,it is necessary to carry out and implement a comprehensive mental health plan within the city and on a regular basis to assess its effect.