深圳市间歇性暴发性障碍流行病学调查.docVIP

深圳市间歇性暴发性障碍流行病学调查【摘 要】 目的：了解深圳市间歇性暴发性障碍的患病率及分布特点。方法：以世界卫生组织-世界精神健康联盟（WHO-WMH）提供的复合性国际诊断访谈表（Composite International Diagnostic Interview ，CIDI 3.1）为访谈工具,采用多阶段分层随机抽样方法对7134名受访人进行面对面调查。结果:（1）间歇性暴发性障碍的加权终生患病率、加权12个月患病率和加权30天患病率分别为3.32%、2.39%和1.34%。男性终生患病率高于女性（3.62% vs.2.24%,OR=0.61，95%CI =0.46~0.81），非户籍人口终生患病率明显高于户籍人口（3.58% vs.2.30%;OR=1.58，95%CI =1.19~2.09）。（2）间歇性暴发性障碍的平均发病年龄为(15.1±7.2)岁，平均病程为(14.1±8.2)年；每年暴发次数的中位数为12次，每年因冲动行为砸毁财物所造成的经济损失中位数为950.0元。（3）间歇性暴发性障碍的共病率为66.67%，共病的主要类型是抑郁症、强迫症和恐惧症，分别为30.48%、24.29%和23.81%。（4）间歇性暴发性障碍的总就诊率为4.76%。（5）间歇性暴发性障碍患者社会功能有中度和重度妨碍者大约各占15%。结论：间歇性暴发性障碍是一种常见的心理疾病，该病发病年龄低、病程较长、共病率高及就诊率低,给患者的社会功能造成较大的影响，应该得到社会广泛的关注。 【关键词】 间歇性暴发性障碍；患病率；流行病学 中图分类号： R181.32，R339.2 文献标识码：A 文章编号：1000-6729(2010）012-0936-06 doi:10.3969/j.issn.1000-6729.2010.12.省略 【Abstract】 Objective:To investigate the prevalence and distribution of intermittent explosive disorder(IED)in Shenzhen City.Methods:The epidemiological survey on IED was carried out in Shenzhen by stratified multi-stage randomized sampling method.Totally 7134 respondents were assessed through face-to-face interviews,with the World Health Organization(WHO)World Mental Health(WMH)Survey Initiative version of the Composite International Diagnostic Interview(CIDI 3.1).Results:(1)The weighting lifetime prevalence,weighting twelve-month prevalence and weighting 30-day prevalence of IED were 3.32%,2.39% and 1.34%,respectively.The lifetime prevalence of males was significantly higher than that of females(3.62% vs.2.24%;OR=0.61,95%CI =0.46~0.81).The lifetime prevalence of non-registered residents was significantly higher than that of the registered residents(3.58% vs.2.30%;OR=1.58,95%CI =1.19~2.09).(2)The average age at the onset of IED were(15.1 ± 7.2)years and the mean course were(14.1±8.2)years.The median number of anger attacks was 12 times per year.The median number of economic losses was 950.0 yuan per year due to aggressive behavior to damage property.(3)The co-morbidity rates between IED and othe