Vos T, Mathers C D
Australian Institute of Health and Welfare, Canberra, Australia.
Bull World Health Organ. 2000;78(4):427-38.
The national and Victorian burden of disease studies in Australia set out to examine critically the methods used in the Global Burden of Disease study to estimate the burden of mental disorders. The main differences include the use of a different set of disability weights allowing estimates in greater detail by level of severity, adjustments for comorbidity between mental disorders, a greater number of mental disorders measured, and modelling of substance use disorders, anxiety disorders and bipolar disorder as chronic conditions. Uniform age-weighting in the Australian studies produces considerably lower estimates of the burden due to mental disorders in comparison with age-weighted disability-adjusted life years. A lack of follow-up data on people with mental disorders who are identified in cross-sectional surveys poses the greatest challenge in determining the burden of mental disorders more accurately.
澳大利亚的全国及维多利亚州疾病负担研究旨在严格审视全球疾病负担研究中用于估算精神障碍负担的方法。主要差异包括使用了不同的一套残疾权重，从而能够按严重程度更详细地进行估算，对精神障碍之间的共病情况进行了调整，测量的精神障碍数量更多，以及将物质使用障碍、焦虑症和双相情感障碍作为慢性病进行建模。与年龄加权的残疾调整生命年相比，澳大利亚研究中的统一年龄加权得出的精神障碍负担估算值要低得多。在横断面调查中确定的精神障碍患者缺乏随访数据，这对更准确地确定精神障碍负担构成了最大挑战。
