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首页> 外文期刊>The journal of clinical psychiatry >Lifetime and 1-Month Prevalence Rates of Intermittent Explosive Disorder in a Community Sample.
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Lifetime and 1-Month Prevalence Rates of Intermittent Explosive Disorder in a Community Sample.

机译：社区样本中间歇性爆炸性疾病的终生率和1个月患病率。

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OBJECTIVE: To determine the lifetime and 1-month prevalence of intermittent explosive disorder (IED) by both DSM-IV and research criteria in a community sample. METHOD: The final 253 (34.1%) of individuals who were entered into the Hopkins Epidemiology Study of Personality Disorder and sampled in the context of a follow-up study of participants from the Baltimore Epidemiologic Catchment Area (ECA) study completed a supplemental interview that allowed for the determination of IED by DSM-IV and/or research criteria. RESULTS: The mean +/- SE percentage of subjects who met inclusion criteria was 11.07% +/- 1.97%, and 6.32% +/- 1.53% met full criteria, for lifetime IED by either diagnostic criteria set; 2.37% +/- 0.96% met full criteria for IED within the previous 1 month. Adjusting the prevalence rates to account for differential sampling from the original ECA study did not substantially affect these results. Onset of problematic aggressive behavior in IED subjects (described as lifelong in most subjects) began as early as childhood, peaked in the third decade, and declined steadily after the fifth decade. While distress and/or impairment due to aggressive behavior was documented in 87.5% of IED subjects, only 12.5% of IED subjects reported seeking help for this problem. CONCLUSIONS: Intermittent problematic aggressive behavior in the community, as defined by IED, may be far more common than previously thought. Conservatively estimated, the number of individuals in the United States with IED, based on these data, may be no lower than 1.4 million for current IED or nearly 10 million for lifetime IED.
机译：目的：通过社区样本中的DSM-IV和研究标准，确定间歇性爆炸性疾病（IED）的寿命和1个月患病率。方法：最后253​​名（34.1％）的人参加了霍普金斯人格障碍流行病学研究，并在对巴尔的摩流行病学流域（ECA）研究参与者的随访研究中进行了抽样调查，完成了补充访谈，允许通过DSM-IV和/或研究标准确定IED。结果：符合诊断标准的终身IED符合入选标准的受试者的平均+/- SE百分比为11.07％+/- 1.97％，而6.32％+/- 1.53％符合全部标准。 2.37％+/- 0.96％在过去1个月内达到了IED的全部标准。调整患病率以考虑来自原始ECA研究的差异采样并不会对这些结果产生实质性影响。在IED受试者中，有问题的攻击行为的发作（在大多数受试者中被称为终生）始于儿童时期，在第三个十年达到顶峰，而在第五个十年之后稳步下降。尽管有87.5％的IED受试者记录了由于攻击行为导致的困扰和/或损害，但只有12.5％的IED受试者报告寻求此问题的帮助。结论：IED定义的社区间歇性有问题的攻击行为可能比以前认为的要普遍得多。保守地估计，基于这些数据，在美国使用IED的人数可能不低于当前IED的140万或终身IED的近1000万。

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