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首页> 外文期刊>Psychological medicine >Lifetime prevalence and inter-cohort variation in DSM-IV disorders in metropolitan China.
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Lifetime prevalence and inter-cohort variation in DSM-IV disorders in metropolitan China.

机译：中国大都市地区DSM-IV疾病的终生患病率和队列间变异。

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BACKGROUND: This is the first study to examine variation across cohorts in lifetime risk of DSM-IV mental disorders in metropolitan China. METHOD: Face-to-face household interviews of 2633 adults in Beijing and 2568 adults in Shanghai were conducted from November 2001 to February 2002 using a multi-stage household probability sampling method. The Chinese World Mental Health (WMH) Survey Initiative version of the WHO Composite International Diagnostic Interview (WMH-CIDI) was used for assessment. RESULTS: Lifetime prevalence of any disorder was 13.2%. Alcohol abuse (4.7%), major depressive disorder (3.5%), and specific phobia (2.6%) were the most common disorders. The median age of onset was later for mood (43 years) than anxiety (17 years) and substance use (25 years) disorders. Compared to observed lifetime prevalence, the projected lifetime risk as of age 75 years increased by 106% for major depressive disorder (7.2%), and was uniformly higher for all disorders. Relative odds of any lifetime disorderwere 4.7 in the most recent cohorts (ages 18-34) compared to the eldest cohorts (ages > or =65). CONCLUSIONS: The findings of this cross-sectional study tally with the view that rapid socioeconomic changes may bring about increasing incidence of mental disorders in China. However, prospective longitudinal studies are needed to confirm if the increase is real. Because of the huge size of the Chinese population, any increase in projected lifetime risk of mental disorders represents an enormous increase in the number of affected individuals.
机译：背景：这是研究中国大都市地区DSM-IV精神障碍终生风险之间不同人群差异的第一项研究。方法：采用多阶段家庭概率抽样方法，从2001年11月至2002年2月，对北京2633名成年人和上海2568名成年人进行了面对面的家庭访谈。世卫组织综合国际诊断访谈（WMH-CIDI）的中国世界精神卫生（WMH）调查倡议版本用于评估。结果：任何疾病的终生患病率为13.2％。酒精滥用（4.7％），重度抑郁症（3.5％）和特定恐惧症（2.6％）是最常见的疾病。中位发病年龄比焦虑症（17岁）和物质使用（25岁）障碍晚于情绪（43岁）。与观察到的终生患病率相比，重度抑郁症的预计终生患病风险（截至75岁）增加了106％（7.2％），所有疾病的患病风险均一律更高。与年龄最大的人群（年龄≥65岁）相比，最近的人群（年龄在18-34岁之间）的任何一生障碍的相对几率是4.7。结论：本横断面研究的结果表明，快速的社会经济变化可能会导致中国精神障碍的发生率增加。但是，需要进行前瞻性纵向研究，以确认这种增加是否确实存在。由于中国人口庞大，预计终生患精神疾病的风险的任何增加都表示受影响的人口数量也大大增加。

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