| 黄明金,郭兰婷,李静,孙学礼,张炳智,易全民,陈亚明,曹强,彭谨,魏玲,黄霞飞,李艳,殷岷,熊贵芬,刘英,廖玉莲,李小玲,王东,肖远奇,江山,叶敬.汶川地震后重灾区人群重性抑郁障碍流行病学调查[J].Chinese journal of Epidemiology,2010,31(2):167-170 |
| 汶川地震后重灾区人群重性抑郁障碍流行病学调查 |
| Epidemiological investigation on major depressive disorder in the most heavily damaged areas from Wenchuan earthquake in 2008 |
| Received:June 22, 2009 |
| DOI： |
| KeyWord: 抑郁障碍，重性 地震 流行病学 |
| English Key Word: Major depressive disorder Earthquake Epidemioiogy |
| FundProject:国家高技术研究发展计划(863计划)(2008AA022605) |
| Author Name | Affiliation | E-mail | | HUANG Ming-jin | Department of Psychiatry, West China Hospital, Sichuan University, Chengdu 610041, China | | | GU0 Lan-ting | Department of Psychiatry, West China Hospital, Sichuan University, Chengdu 610041, China | guolanting@sina.com | | LI Jing | Department of Psychiatry, West China Hospital, Sichuan University, Chengdu 610041, China | | | SUN Xue-li | Department of Psychiatry, West China Hospital, Sichuan University, Chengdu 610041, China | | | ZHANG Bing-zhi | Yaan Municipal Psychiatric Hospital | | | YI Quan-min | Nanchong Municipal Psychiatric Hospital | | | CH EN Ya-ming | Nanchong Municipal Psychiatric Hospital | | | CA0 Qiang | Zigong Municipal Psychiatric Hospital | | | PENG Jin | Zigong Municipal Psychiatric Hospital | | | WEl Ling | Zigong Municipal Psychiatric Hospital | | | HUANG Xia-fen | Panzhihua Municipal Psychiatric Hospital | | | LI Yan | The Fourth People’s Hospital ofChengdu | | | YIN Min | Yutang Township Public Hospital | | | XING Gui-fen | Panzhihua Municipal Psychiatric Hospital | | | LIU Ying | Panzhihua Municipal Psychiatric Hospital | | | LIAO Yu-lian | Nanchong Municipal Psychiatric Hospital | | | LI Xiao-ling | Nanchong Municipal Psychiatric Hospital | | | WANG Dong | Nanchong Municipal Psychiatric Hospital | | | XlAoYuan-qi | The Fourth People’s Hospital ofChengdu | | | JIANG Shan | The Fourth People’s Hospital ofChengdu | | | YE Jing | The Fourth People’s Hospital ofChengdu | |
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| Abstract: |
| 目的了解中国汶川5·12地震后重灾区居民的重性抑郁障碍患病率、患者的人口学和社会文化特征及患病相关危险因素。方法采用分层整群抽样方法随机抽取≥15岁人群14 503人，以一般健康问卷12项(GHQ一12)为筛选下具，采用美国精神障碍诊断与统计手册第4版(DSM.IV)轴I障碍定式临床检查版(SCID.I/P)为调查诊断工具。结果重性抑郁障碍现患180例，时点患病率为1.27％，终生患病率为1.36％；女性(DR=1.56.95％CI:1.136～2.143，P<0.05)、合并躯体疾病(OR=4.02，95％CI:2.75-5.90，P<0.05)、地震中受伤(OR=3.29，95％CI:1.92-5.65，P<0.05)、财产损失(其中10万～20万元OR=2.09，95％CI:1.18-3.69，P<0.05；>20万元OR=2.54。95％C/:1.38～4.68。P<0.05)、家人去世或失踪(OR=3.79，95％C/:2.08～6.89，P<0.05)以及中年人群(OR=2.31，95％CI:1.38-3.86，P结论重性抑郁障碍是目前地震灾区较为多发的精神疾病。 |
| English Abstract: |
| Objective To assess the prevalence，demographic characteristics，risk factors and protective factors on major depression disorder(MDD)among the affected people in the epicenter.7 months after the 2008一earthquake in Wenchuan.China.Methods Stratified multistage cluster randomization was conducted to choose 14 503 subjects aged 1 5 years or over in the city of Dujiangyan。Beichuan county and Qingchuan county，Sichuan province.we used the general health 0uestionnaire(GHQ一12)as the screening instrumcnt，and the structured clinical interview for DSM一Ⅳ.TR axis I disorder-patient edition(SCID.I/P)as the tool for diagnosis.Results There were l 80 persons diagnosed as MDD with other 1 3 asymptomatic ones.The point prevalence of MDD was 1.27％and the lifetime prevalence was 1.36％.Rjsk factors were including:being female(0R=1.56.95％CI:1.136-2.143，P20 000Yuan(OR=2.54，95％a:1.38-4.68，P<0.05)，death or missing of family members(OR=3.79，95％C，:2.08-6.89.PConclusion Major depressive disorder appeared to be a common psychiatric disease in these quake-stricken areas，that causing serious problems.Sustained follow-up and care provided to the affected people in these areas were of extreme importance. |
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