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目的:了解深圳市间歇性暴发性障碍的患病率及分布特点。方法:以世界卫生组织-世界精神健康联盟(WHO-WMH)提供的复合性国际诊断访谈表(Composite International Diagnostic Interview,CIDI3.1)为访谈工具,采用多阶段分层随机抽样方法对7134名受访人进行面对面调查。结果:(1)间歇性暴发性障碍的加权终生患病率、加权12个月患病率和加权30天患病率分别为3.32%、2.39%和1.34%。男性终生患病率高于女性(3.62%vs.2.24%,OR=0.61,95%CI=0.46~0.81),非户籍人口终生患病率明显高于户籍人口(3.58%vs.2.30%;OR=1.58,95%CI=1.19~2.09)。(2)间歇性暴发性障碍的平均发病年龄为(15.1±7.2)岁,平均病程为(14.1±8.2)年;每年暴发次数的中位数为12次,每年因冲动行为砸毁财物所造成的经济损失中位数为950.0元。(3)间歇性暴发性障碍的共病率为66.67%,共病的主要类型是抑郁症、强迫症和恐惧症,分别为30.48%、24.29%和23.81%。(4)间歇性暴发性障碍的总就诊率为4.76%。(5)间歇性暴发性障碍患者社会功能有中度和重度妨碍者大约各占15%。结论:间歇性暴发性障碍是一种常见的心理疾病,该病发病年龄低、病程较长、共病率高及就诊率低,给患者的社会功能造成较大的影响,应该得到社会广泛的关注。
Objective: To understand the prevalence and distribution of intermittent outbreak in Shenzhen. Methods: The composite International Diagnostic Interview (CIDI3.1) provided by the World Health Organization-World Health Organization (WHO-WMH) was used as the interviews tool, and a multistage stratified random sampling method was used to evaluate 7134 subjects Interview face-to-face investigation. Results: (1) The weighted lifetime prevalence of intermittent fulminant disorder, weighted 12-month prevalence and weighted 30-day prevalence were 3.32%, 2.39% and 1.34%, respectively. The lifetime prevalence of males was higher than that of females (3.62% vs.2.24%, OR = 0.61,95% CI = 0.46-0.81). The lifetime prevalence of non-permanent residents was significantly higher than that of permanent residents (3.58% vs.2.30% = 1.58, 95% CI = 1.19 ~ 2.09). (2) The average age of onset of intermittent fulminant disorder was (15.1 ± 7.2) years and the average duration was (14.1 ± 8.2) years. The median number of outbreaks was 12 times per year, which was caused by smashing belongings each year The median economic loss was 950.0 yuan. (3) The comorbidity rate of intermittent fulminant disorder was 66.67%. The main types of comorbidity were depression, obsessive compulsive disorder and phobia, which were 30.48%, 24.29% and 23.81% respectively. (4) The total visiting rate of intermittent outbreaks was 4.76%. (5) About 15% of patients with intermittent fulminant disorder have moderate or severe social dysfunction. Conclusion: Intermittent fulminant disorder is a common psychological disease. The low age, long course of disease, high comorbidity rate and low attendance rate have a great impact on the social function of patients and should be widely socialized attention.