Wells J Elisabeth, Oakley Browne Mark A, Scott Kate M, McGee Magnus A, Baxter Joanne, Kokaua Jesse
Department of Public Health and General Practice, Christchurch School of Medicine and Health Sciences, University of Otago, Christchurch, New Zealand.
Aust N Z J Psychiatry. 2006 Oct;40(10):835-44. doi: 10.1080/j.1440-1614.2006.01902.x.
To estimate the prevalence and severity of anxiety, mood, substance and eating disorders in New Zealand, and associated disability and treatment.
A nationwide face-to-face household survey of residents aged 16 years and over was undertaken between 2003 and 2004. Lay interviewers administered a computerized fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview. Oversampling doubled the number of Māori and quadrupled the number of Pacific people. The outcomes reported are demographics, period prevalences, 12 month severity and correlates of disorder, and contact with the health sector, within the past 12 months.
The response rate was 73.3%. There were 12,992 participants (2,595 Māori and 2,236 Pacific people). Period prevalences were as follows: 39.5% had met criteria for a DSM-IV mental disorder at any time in their life before interview, 20.7% had experienced disorder within the past 12 months and 11.6% within the past month. In the past 12 months, 4.7% of the population experienced serious disorder, 9.4% moderate disorder and 6.6% mild disorder. A visit for mental health problems was made to the health-care sector in the past 12 months by 58.0% of those with serious disorder, 36.5% with moderate disorder, 18.5% with mild disorder and 5.7% of those not diagnosed with a disorder. The prevalence of disorder and of serious disorder was higher for younger people and people with less education or lower household income. In contrast, these correlates had little relationship to treatment contact, after adjustment for severity. Compared with the composite Others group, Māori and Pacific people had higher prevalences of disorder, unadjusted for sociodemographic correlates, and were less likely to make treatment contact, in relation to need.
Mental disorder is common in New Zealand. Many people with current disorder are not receiving treatment, even among those with serious disorder.
评估新西兰焦虑症、情绪障碍、物质使用障碍和饮食失调的患病率及严重程度，以及相关的残疾情况和治疗情况。
2003年至2004年期间，对全国16岁及以上居民进行了面对面的家庭调查。外行人访谈员进行了一次计算机化的完全结构化诊断访谈，即世界卫生组织世界心理健康调查倡议版的综合国际诊断访谈。对毛利人和太平洋岛民进行了超抽样，使毛利人的样本数量增加了一倍，太平洋岛民的样本数量增加了两倍。报告的结果包括人口统计学特征、期间患病率、12个月内的严重程度及障碍的相关因素，以及过去12个月内与卫生部门的接触情况。
应答率为73.3%。共有12992名参与者（2595名毛利人和2236名太平洋岛民）。期间患病率如下：39.5%的人在访谈前的一生中曾符合DSM-IV精神障碍的标准，20.7%的人在过去12个月内经历过障碍，11.6%的人在过去一个月内经历过障碍。在过去12个月中，4.7%的人口经历了严重障碍，9.4%经历了中度障碍，6.6%经历了轻度障碍。在过去12个月中，58.0%患有严重障碍的人、36.5%患有中度障碍的人、18.5%患有轻度障碍的人以及5.7%未被诊断患有障碍的人因心理健康问题前往了卫生保健部门就诊。年轻人以及受教育程度较低或家庭收入较低的人，其障碍患病率和严重障碍患病率更高。相比之下，在对严重程度进行调整后，这些相关因素与治疗接触的关系不大。与其他群体综合相比，毛利人和太平洋岛民的障碍患病率更高（未对社会人口学相关因素进行调整），并且根据需求来看，他们接受治疗的可能性更小。
精神障碍在新西兰很常见。许多患有当前障碍的人没有接受治疗，即使是那些患有严重障碍的人。
