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National depression and anxiety indices for Australia.

机译:澳大利亚的国家抑郁和焦虑指数。

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OBJECTIVE: This study aimed to develop a National Depression Index and a National Anxiety Index to measure the depression and anxiety status of the Australian population, to compare data between surveys, and to compare relative risk in different population groups. METHOD: The indices were developed using cross-sectional data from four surveys: the 1997 and 2007 National Surveys of Mental Health and Wellbeing (NSMHWB) and the 2001 and 2004/5 National Health Surveys (NHS). Six items from the K10 that most closely related to the ICD-10 diagnosis of depression and four that most closely related to a diagnosis of an anxiety disorder were used to create separate scales. The indices were developed by estimating the predicted probabilities of depression and anxiety on these separate K10 scales in the 2007 NSMHWB and then applying these predicted probabilities to the same scales in the other surveys. The 1997 NSMHWB and 2001 NHS were used as benchmarks for the respective surveys, with values greater than or less than 100 on the indices indicating a higher or lower probability of depression and anxiety in the subsequent survey year. Overall mean risks of depression and anxiety were examined along with differences in mean risk by age, household income, employment status and geographic location for males and females. RESULTS: There was an overall increase in the mean risk of anxiety between the 1997 and 2007 NSMHWB but no significant difference in the mean risk of depression. Significant increases in the mean risk of anxiety were observed for women aged 45-64, for employed men and women, and for women living in the inner city and non-regional rural areas. CONCLUSIONS: The increase in the mean risk of anxiety may support the need for public education to focus on anxiety disorders, particularly for middle-aged women and for employed men and women.
机译:目的:本研究旨在建立国民抑郁指数和国民焦虑指数,以测量澳大利亚人口的抑郁和焦虑状况,比较调查之间的数据,并比较不同人群的相对风险。方法:使用四项调查的横断面数据制定指数:1997年和2007年全国心理健康和幸福调查(NSMHWB)以及2001年和2004/5年全国健康调查(NHS)。使用K10中与ICD-10抑郁症诊断最相关的六个项目和与焦虑症诊断最相关的四个项目来创建单独的量表。通过在2007年NSMHWB的这些单独的K10量表上估计抑郁和焦虑的预测概率,然后在其他调查中将这些预测的概率应用于相同的量表,来开发该指数。 1997 NSMHWB和2001 NHS被用作各自调查的基准,该指数的值大于或小于100表示​​在下一个调查年度中抑郁和焦虑的可能性更高或更低。调查了抑郁和焦虑的总体平均风险,以及按年龄,家庭收入,就业状况和地理位置划分的男性和女性的平均风险差异。结果:1997年和2007年NSMHWB之间的平均焦虑风险总体增加,但平均抑郁风险没有显着差异。观察到45-64岁的女性,就业的男性和女性以及生活在城市内部和非区域农村地区的女性的平均焦虑风险显着增加。结论:平均焦虑风险的增加可能支持对公众教育的关注,特别是对中年妇女和就业男性和女性的焦虑症。

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