山东省聊城市第三次精神疾病流行病学调查.docVIP

山东省聊城市第三次精神疾病流行病学调查 山东省聊城市第三次精神疾病流行病学调查 于素芳 孙玉梅 【摘 要】 目的： 了解聊城市≥18岁人群各类精神疾病的患病水平、分布特征、致残情况，掌握近三十年来精神疾病流行的动态资料。方法：采用多阶段分层整群随机抽样方法，对聊城市≥18岁的人群进行入户调查。使用一般健康问卷（GHQ-12）将调查对象分为患精神疾病高、中、低危险组，以SCID-P、美国精神学会诊断手册第四版（DSM-IV）和精神发育迟滞/痴呆诊断量表（MMSE）为诊断工具。依次对100％、40％、10％的调查对象进行定式检查(SCID)，对各类精神障碍进行诊断。结果：4788人完成筛选，1568例完成诊断。精神疾病终生患病率为15.10%（95％CI为14.81％-16.68％），现患率为14.14％(95％CI为13.51％-15.23％)，最常见的疾病为心境障碍（5.88％，5．31％-7．05％)、酒精使用障碍(4.28％，3．03％-4．27％)和焦虑障碍(2.79％，1．46％-3．91％)。男性高于女性（x2=99.56 , ＜ 0.001)， 且以40岁~55岁年龄组发病率最高(x2= 100.15, P＜0.001)。结论：聊城市精神疾病患病率明显上升，已成为常见病和迫切需要解决的重大公共卫生问题。 【关键词】精神疾病; 患病率; 流行病学调查 Liaocheng City, Shandong Province sample survey of mental illness，China shu-fang yu； Yu-Mei Sun 基金项目：山东省医学科研基金资助项目[2005HZ074]； 美国中华医学基金会资助项目[Small Grants Program,NO.02-777] 作者单位：于素芳 252000山东 聊城市第四人民医院 主管护师 护士长 【Abstract】 Objective Learn the current Liaocheng ≥ 18-year-old crowd all types of mental illness prevalence levels, distribution characteristics, disability situation, grasp the past three decades mental illness popular dynamic data. Methods The multi-stage stratified cluster random sampling method, Liaocheng ≥ 18-year-old home to investigate the crowd. The use of general health questionnaire (GHQ-12) will investigate mentally ill subjects were divided into high, medium and low-risk group, The use of general health questionnaire (GHQ-12) will investigate mentally ill subjects were divided into high, medium and low-risk group to SCID-P, the spirit of the United States Institute of DSM-IV diagnosis (DSM-IV) and mental retardation / dementia diagnosis capacity Table (MMSE) as a diagnostic tool. Followed by 100%, 40%, 10% of the survey conducted SCID-(SCID), Results 4788 people achieve screening, diagnosis of 1568 cases of finish. Lifetime prevalence rate of mental illness for the 15.10% (95% CI was 14.81% -16.68%), prevalence rate of 14.14% (95% CI was 13.51% -15.23%), The most common disease for mood disorders (5.88%, 5.31% -7.05%), alcohol use