中国心理卫生杂志2013，Vol.27Issue(2)：102-110,9.DOI:10.3969/j.issn.1000-6729.2013.02.005
北京市社区人群心境障碍、焦虑障碍及物质使用障碍的现况调查
The prevalence of mood disorder, anxiety disorder and substance use disorder in community residents in Beijing: A cross-sectional study
摘要
Abstract
Objective: To describe the prevalence, comobidity and onsets of mood disorder, anxiety disorder and substance use disorder in Beijing. Methods: Using multiple stage stratified sampling, a cross-sectional study was carried out among 3387 residents aged 16 and over in Beijing in 2010. The Composite International Diagnostic Interview, computer assisted personal interview (CIDI-3. 0-CAPI) was administrated by face-to-face interview in both urban and rural community settings, and the diagnosis was made according to the definition and criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DMS-IV). Crude prevalence and sex-and-age adjusted prevalence were reported. Results: There were 2469 respondents in the survey with 72.9% of response rate. Regarding mood disorder, the 30-day prevalence and sex-and-age adjusted prevalence were 0. 81% and 0. 87% ; 12-month prevalence and sex-and-age adjusted prevalence of mood disorder were 3. 32% and 3.40%; and lifetime prevalence and sex-and-age adjusted prevalence were 7. 21% and 6. 55%. The adjusted 30-day, 12-month and lifetime prevalence rates in male and female were 0.80% vs. 0.76%, 3.28% vs. 2. 83%, and 5.86% vs. 5. 89% respectively. Regarding anxiety disorder, the 30-day prevalence and sex-and-age adjusted prevalence were 3.16% and 3.08%; 12-month prevalence and sex-and-age adjusted prevalence of mood disorder were 3.93% and 3. 90%; and lifetime prevalence and sex-and-age adjusted prevalence were 5. 95% and 6. 37%. The adjusted 30-day, 12-month and lifetime prevalence rates in male and female were 2.18% vs. 3.17%, 2. 69% vs. 4.18%, and 4. 57% vs. 6.55% respectively. Regarding substance use disorder, the 30-day prevalence of substance use disorder and sex-and-age adjusted prevalence were 0. 33% and 0. 37% ; 12-month prevalence and sex-and-age adjusted prevalence of mood disorder were 1. 15% and 1. 92% ; and lifetime prevalence and sex-and-age adjusted prevalence were 5. 30% and 5. 58%. The adjusted 30-day, 12-month and lifetime prevalence rates in male and female were 0. 63% vs. 0. 16% , 3. 63% vs. 0. 16%, and 11. 14% vs. 0. 61% respectively. There were comorbidity among mood disorder, anxiety disorder and substance disorder. The median onset age of anxiety disorder was 15 year, following by 28 year of substance and 38 year of mood disorder. Conclusion: It is estimated that there is about one in nine persons ever suffering from any mood disorder, anxiety disorder or substance disorder in Beijing. Mental health education should be advocated among residents, so as to improve the prevention and treatment on mental disorder.关键词
心境障碍/焦虑障碍/物质使用障碍/患病率/复合性国际诊断交谈表/现况调查Key words
mood disorder/ anxiety disorder/ substance use disorder/ prevalence/ composite international diagnostic interview/ cross-sectional studies分类
医药卫生引用本文复制引用
刘肇瑞,黄悦勤,陈曦,程辉,罗晓敏..北京市社区人群心境障碍、焦虑障碍及物质使用障碍的现况调查[J].中国心理卫生杂志,2013,27(2):102-110,9.基金项目
"十一五"国家科技支撑计划"神经症早期识别与治疗方案优化方案的研究"(2007BAI17B01) （2007BAI17B01）
