埃塞俄比亚南部一个孤岛社区中精神障碍的分布情况。

The distribution of mental disorders among an isolated island community in southern Ethiopia.

作者信息

Kebede Derege, Fekadu Abebaw, Alem Atalay, Beyero Teferra, Shibire Teshome, Deyessa Negussie

机构信息

Department of Community Health, Addis Ababa University, Ethiopia.

出版信息

Ethiop Med J. 2005 Apr;43(2):71-7.

PMID:16370535

Abstract

BACKGROUND

It is now recognized that surveys of unique communities are important to better understand the epidemiology of mental disorders. The Zeway islanders are completely different from the surrounding cultural groups, in the midst of whom they have been living in isolation for over three centuries.

OBJECTIVES

To describe the prevalence and sociodemographic correlates of major mental disorders in this community.

METHODS

Trained and supervised field workers were employed to conduct a door-to-door survey of the entire adult population of the islands using the Amharic CIDI (Composite International Diagnostic Interview).

RESULTS

A total of 18.3% of the study subjects were classified as having ICD-10 diagnoses, excluding substance use disorders. The most prevalent CIDI/ICD-10 disorder in the study were neurotic and somatoform disorders (17%). Affective disorders were present in 2.2% while no cases of psychoses were found. The prevalence of tobacco use and alcohol dependence was 0.4% and 1.5%, respectively, with all cases being males.

CONCLUSION

The pattern of occurrence of mental disorders in this isolated community is different from other populations in Ethiopia and elsewhere with no reported case of psychoses.

摘要

背景

现在人们认识到，对独特社区进行调查对于更好地了解精神障碍的流行病学很重要。泽韦岛民与周围的文化群体完全不同，他们在这些群体中已经孤立生活了三个多世纪。

目的

描述该社区主要精神障碍的患病率及其社会人口学相关因素。

方法

雇佣经过培训和监督的现场工作人员，使用阿姆哈拉语综合国际诊断访谈（CIDI）对该岛所有成年人口进行挨家挨户的调查。

结果

排除物质使用障碍后，共有18.3%的研究对象被归类为患有国际疾病分类第十版（ICD - 10）诊断的疾病。该研究中最常见的CIDI/ICD - 10障碍是神经症和躯体形式障碍（17%）。情感障碍的患病率为2.2%，未发现精神病病例。烟草使用和酒精依赖的患病率分别为0.4%和1.5%，所有病例均为男性。