长沙地区社区人群酒精使用障碍与心境障碍共病调查

发布时间：2019-05-11 12:52

【摘要】：目的:了解长沙地区居民酒精使用障碍与心境障碍共病的患病情况。方法:采用多阶段整群抽样方法,对15岁及以上人群进行入户调查,共抽样12 475人。以增补后的一般健康问卷12(GHQ-12)为筛选工具,将调查对象分为患精神疾病高、中、低危险组。以美国精神障碍诊断与统计手册第4版(DSM-IV)轴Ⅰ障碍定式临床检查病人版(SCID-I/P)为诊断工具。12 094人完成GHQ-12,2351人完成SCID-I/P,对这2351名居民中酒精使用障碍和心境障碍的共患情况进行分析。结果:酒精使用障碍和心境障碍的时点患病率分别为1.76%(46/2351)和6.01%(141/2351)。酒精使用障碍患者有心境障碍者占60.9%(28/46),心境障碍患者有酒精使用障碍者为19.9%(28/141)。控制年龄、性别、居住地、受教育程度、家庭年收入以后,酒精使用障碍患者发生心境障碍的风险性高于非现患酒精使用障碍者(OR=33.54,95%CI:17.52~64.20);心境障碍患者发生酒精使用障碍的风险性高于非现患心境障碍者(OR=35.11,95%CI:18.02~68.39)。结论:酒精使用障碍与心境障碍容易发生共患,应引起精神卫生工作者的重视。
[Abstract]:Objective: to investigate the prevalence of alcohol use disorder and mood disorder in Changsha residents. Methods: a total of 12475 people aged 15 and over were investigated by multi-stage cluster sampling. Using the supplementary general health questionnaire 12 (GHQ-12) as a screening tool, the subjects were divided into three groups: high, middle and low risk groups with mental illness. Using the fourth edition (DSM-IV) of the American Manual of diagnosis and Statistics of Mental Disorder (SCID-I/P) as a diagnostic tool. 12,094 people completed GHQ-12,2351 and completed SCID-I/P,. The co-occurrence of alcohol use disorder and mood disorder in these 2351 residents was analyzed. Results: the prevalence rates of alcohol use disorder and mood disorder were 1.76% (46 鈮，

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