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[西班牙精神障碍流行病学:方法及参与西班牙ESEMeD项目情况]

[Epidemiology of mental disorders in Spain: methods and participation in the ESEMeD-Spain project].

作者信息

Haro J M, Palacín C, Vilagut G, Romera B, Codony M, Autonell J, Ferrer M, Ramos J, Kessler R, Alonso J

机构信息

San Juan de Dios-SSm. Sant Boi de Llobregat, Barcelona, Spain.

出版信息

Actas Esp Psiquiatr. 2003 Jul-Aug;31(4):182-91.

PMID:12838441
Abstract

INTRODUCTION

The ESEMeD-Spain study is part of a European project on the epidemiology of mental disorders, which is also part of a World Health Organization initiative called World Mental Health Surveys. The main objectives of the study are to estimate the prevalence of mental disorders in Spain; to analyze their association with sociodemographic variables and predisposing and protective factors; to evaluate their impact on the quality of life; and to describe and evaluate the health care received by people with mental disorders.

METHODS

A representative sample of the noninstitutionalized Spanish population older than 18 years is interviewed. Sample size is 5,500 people. The instrument used in the interviews is the Composite International Diagnostic Interview (CIDI), a questionnaire designed to be used by lay interviewers that allows the diagnosis of psychiatric disorders. Strict quality control of field work has been established. Furthermore, approximately 200 subjects are re-interviewed by a psychiatrist using the Structured Clinical Interview for DSM-IV (SCID) and several questionnaires to measure clinical severity.

RESULTS

Field work started in September 2001 and finished in November 2002. Up to Ap ril 2002, more than 4,300 people have been interviewed. Preliminary response rate has been 68.7%. Comparison of the age and gender of the study sample with the general Spanish population shows high representativeness.

CONCLUSIONS

The ESEMeD-Spain project will produce un - precedented scientific information about the epidemiology of mental disorders in Spain.

摘要

引言

西班牙ESEMeD研究是一项关于精神障碍流行病学的欧洲项目的一部分,该项目也是世界卫生组织名为世界心理健康调查的倡议的一部分。该研究的主要目标是估计西班牙精神障碍的患病率;分析其与社会人口统计学变量以及易感和保护因素的关联;评估其对生活质量的影响;以及描述和评估精神障碍患者所接受的医疗保健。

方法

对年龄在18岁以上的非机构化西班牙人群进行具有代表性的抽样访谈。样本量为5500人。访谈中使用的工具是综合国际诊断访谈(CIDI),这是一份由非专业访谈员使用的问卷,可用于诊断精神疾病。已建立严格的实地工作质量控制。此外,约200名受试者由精神科医生使用DSM-IV结构化临床访谈(SCID)和几份问卷进行再次访谈,以测量临床严重程度。

结果

实地工作于2001年9月开始,2002年11月结束。截至2002年4月,已访谈4300多人。初步应答率为68.7%。研究样本的年龄和性别与西班牙总人口的比较显示出高度代表性。

结论

西班牙ESEMeD项目将产生有关西班牙精神障碍流行病学的前所未有的科学信息。

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