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意大利某城镇精神障碍的患病率:通过两次不同访谈证实患病率较低。

Prevalence of psychiatric disorders in an Italian town: low prevalence confirmed with two different interviews.

作者信息

Gigantesco Antonella, Palumbo Gabriella, Mirabella Fiorino, Pettinelli Mario, Morosini Pierluigi

机构信息

Centre of Epidemiology, Surveillance, and Health Promotion, Italian National Institute of Health, Rome, Italy.

出版信息

Psychother Psychosom. 2006;75(3):170-6. doi: 10.1159/000091774.

Abstract

BACKGROUND

In Italy, few studies on the prevalence of psychiatric disorders have considered all of the most common disorders and very few have adopted the most common tools, that is, the Composite International Diagnostic Interview (CIDI) and the Present State Examination (PSE). The objective of the present study was to estimate the prevalence of psychiatric disorders and its correlates in the town of Jesi, Italy, using the PSE and CIDI, administered 7 years apart.

METHODS

The two surveys were conducted among adults in Jesi (central Italy), using the PSE in 1993 and the CIDI in 2000. Participants were randomly chosen from the patient lists of general practitioners.

RESULTS

The one-month prevalence of persons with a psychiatric disorder was 7.3% (95% CI: 4.4-11.6) in 1993 and 6.0% (95% CI: 3.5-9.5) in 2000. The lifetime and 1-year prevalence rates were 21.0 and 8.2%, respectively. The most common disorders were depressive and anxiety disorders. Mood and anxiety disorders were more common among women and unmarried persons.

CONCLUSIONS

The prevalence is lower than that in most other areas of the world yet consistent with estimates for Italian populations reported by studies using the same (or similar) tools.

摘要

背景

在意大利,很少有关于精神障碍患病率的研究涵盖了所有最常见的障碍,而且极少有研究采用最常用的工具,即复合国际诊断访谈(CIDI)和现况检查(PSE)。本研究的目的是利用相隔7年进行的PSE和CIDI,估算意大利杰西镇精神障碍的患病率及其相关因素。

方法

这两项调查在意大利中部杰西镇的成年人中开展,1993年使用PSE,2000年使用CIDI。参与者从全科医生的患者名单中随机选取。

结果

1993年精神障碍患者的1个月患病率为7.3%(95%置信区间:4.4 - 11.6),2000年为6.0%(95%置信区间:3.5 - 9.5)。终生患病率和1年患病率分别为21.0%和8.2%。最常见的障碍是抑郁和焦虑障碍。情绪和焦虑障碍在女性和未婚者中更为常见。

结论

该患病率低于世界上大多数其他地区,但与使用相同(或类似)工具的研究报告的意大利人群估计值一致。

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