中国临床心理学杂志

湖南省浏阳市农村居民抑郁症患病率调查

作者：桂立辉¹ 2 肖水源¹ 方丽¹ 张德杏¹

单位：1. 中南大学公共卫生学院社会医学与卫生事业管理系湖南长沙 410078
2. 新乡医学院公共卫生学系河南新乡 450032

分类号：R395.1

出版年,卷(期):页码：2009,17(4):459-461

摘要：

目的：了解农村居民抑郁症的患病率及分布特征。方法：采用分层多级随机抽样方法抽取浏阳市≥15岁农村居民7347人，以SCID为筛查和诊断工具，诊断标准为DSM-Ⅳ。结果：抑郁症总患病率为4.0%(95%CI：3.6%～4.4%)，其中目前重症抑郁发作为1.9%(95%CI：1.6%～2.2%)，既往重症抑郁发作为1.3%(95%CI：1.0%～1.6%)，心境恶劣障碍为0.8%(95%CI：0.6%～1.0%)。女性抑郁症患病率(4.6%)高于男性(3.3%)(χ²=8.928，P=0.030)，对年龄进行标化后男女患病率的差异仍有统计学意义(χ²=6.129，P=0.013)。不同年龄组患病率的差别有统计学意义(χ²=50.986，P=0.000)，以40岁～70岁中老年人群患病率较高。结论：浏阳市农村居民抑郁症患病率水平较高，人群分布以女性和中老年人患病率最高。

Objective To investigate the prevalence and distribution of depression in rural residents of Liuyang. Methods 7347 rural residents of 15 years and older were selected from Liuyang by multistage stratified random sampling. The Structured Clinical Interview (SCID) was used to assess major depressive episode (MDE) and dysthymic disorder according to DSM-IV criteria. Results: The prevalence of present major depressive episode(MDE) was 1.9%(95%CI 1.6% ~2.2% ), past MDE was 1.3% (95% CI 1.0% ~1.6% ), dysthymic disorder was 0.8% (95% CI 0.6% ~1.0% ), and the total prevalence of depression was 4.0%(95% CI 3.6% ~4.4%). The depression prevalences were higher in females (4.6%) than in males(3.3%) by chi-square test ( χ²=8.928, P=0.030), and the difference of age-adjusted prevalences between sex groups were statistically significant ( χ²=6.129, P=0.013). The depression prevalences were also significantly different among age groups ( χ²=50.986, P=0.000), and highest in 45 ~74 years age-group. Conclusion: The depression prevalence in rural residents of Liuyang is higher than the most of that reported in other domestic studies. The prevalences of depression are higher in females and middle and old age residents.

基金项目：

SPI(Suicide Prevention International)资助课题(AC202)

作者简介：

参考文献：

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