保定市焦虑障碍流行病学调查

目的：了解保定市焦虑障碍的患病率和分布特点。方法：于2004年10月至2005年5月采用多阶段分层整群抽样方法随机抽取≥18岁的人群，共10073名，用扩展的一般健康问卷（GHQ-12）将调查对象分为高、中、低危险组，采用美国精神障碍诊断与统计手册第4版（DSM-Ⅳ）轴Ⅰ障碍定式临床检查患者版（SCID）对调查对象进行焦虑障碍的诊断。结果：共9021人完成调查，焦虑障碍的终生患病率为45．12‰，时点患病率为41．79‰，5种常见的焦虑障碍是未特定的焦虑障碍（分别是25.72‰及25．39‰）、创伤后应激障碍（5．65‰及3．66‰）、广泛性焦虑症（仅现患6．43‰）、特殊恐怖症（5.10‰及4．43‰）和惊恐障碍（3．44‰及2．66‰）。时点患病率：女性（54．21‰）明显高于男性（29．73‰）（P〈0．01）；50～59岁患病率最高（58．39‰），20～29岁最低（23．07‰）。Logistic回归分析显示，焦虑障碍的易患危险因素为女性、年龄40-69岁、低文化、低收入。焦虑障碍的精神科就诊率为1．86‰。结论：焦虑障碍是保定市常见的一类精神障碍，患病率高，而其精神卫生服务利用率低。

An epidemiologic survey of anxiety disorder in Baodingg

Objective： To understand the current prevalence and distribution of anxiety disorder in Baoding city. Method ： From Oct. 2004 to Mar. 2005 stratified multi-stage cluster randomization was used to identify 10 073 subjects aged 18 years or over in Baoding. An expanded version of the general health questionnaire （GHQ-12） was used to identify subjects at high,moderate and low risk for having anxiety disorder,then diagnoses were made according to the fourth edition of Diagnostic and Statistical Manual of Mental Disorder（ DSM-Ⅳ ） criteria after conducting a Structured Clinical Interview for DSM-Ⅳ-TR Axis Ⅰ Disorders-Patient Edition （SCID-I/P）. Results ：9 021 subjects completed the screening. The overall lifetime prevalence of anxiety disorders rate was 45. 12‰, the overall current prevalence rate was 41.79‰; and unspecified anxiety disorder （25.72‰,25.39‰） , posttraumatic stress disorder （5.65‰,3.66‰） , generalized anxiety disorder （ only current disorder 6.43‰） , specific phobia（5.10‰,4.43‰） and panic disorder （3.44‰,2.66‰） occupied the preceding five positions. The overall current prevalence rate was higher in the female （54.21‰） than in the male （29.73‰） （P 〈 0.01 ）. The current prevalence rate was highest in aged 50 - 59 years（58.39‰ ） and lowest in aged 20 - 29 years （23.07‰）. The results of logistic regression analysis indicated that female, aged 40 -69 years,low education and low income were risk factors for anxiety disorder. 1.86% of anxiety disorders had sought treatment from mental health services. Conclusion：Anxiety disorders is a kind of common mental disorders in Baoding,the prevalence of anxiety disorders is high comparatively, but only a few of anxiety disorders has sought treatment from mental health services.