Ma Xin, Xiang Yu-Tao, Cai Zhuo-Ji, Li Shu-Ran, Xiang Ying-Qiang, Guo Hong-Li, Hou Ye-Zhi, Li Zhen-Bo, Li Zhan-Jiang, Tao Yu-Fen, Dang Wei-Min, Wu Xiao-Mei, Deng Jing, Wang Chuan-Yue, Lai Kelly Y C, Ungvari Gabor S
Beijing Anding Hospital, Capital Medical University, Beijing, China.
J Affect Disord. 2009 Jun;115(3):323-30. doi: 10.1016/j.jad.2008.09.010. Epub 2008 Oct 19.
This study aimed to determine the 12-month and lifetime prevalence of major depressive episode (MDE) and their socio-demographic correlates in both the urban and rural areas of Beijing, China.
A total of 4767 adults were randomly selected and interviewed in Beijing using the Composite International Diagnostic Interview (CIDI 1.0). Basic socio-demographic and clinical data were collected during the interviews.
The overall 12-month prevalence of MDE was 3.2%; 2.8% and 3.8% for men and women, respectively. The overall lifetime prevalence of MDE was 5.3%; 4.4% and 6.3% for men and women, respectively. Being older than 25 years of age was independently associated with increased risk of MDE. Sixteen point three percent of the subjects with lifetime MDE attempted suicide while the rate of suicide attempts was only 0.2% in subjects without MDE. The percentage of subjects with MDE who received any type of treatment from medical practitioners was 33.1%; of them, only 5.4% sought help from mental health professionals.
National epidemiologic surveys are needed to further explore the prevalence of MDE in China. The low percentage of subjects treated for MDE constitutes a major public health problem that should be urgently addressed.
本研究旨在确定中国北京城乡地区重度抑郁发作（MDE）的12个月患病率和终生患病率及其社会人口学相关因素。
在北京随机选取4767名成年人，使用复合国际诊断访谈（CIDI 1.0）进行访谈。访谈期间收集基本的社会人口学和临床数据。
MDE的总体12个月患病率为3.2%；男性和女性分别为2.8%和3.8%。MDE的总体终生患病率为5.3%；男性和女性分别为4.4%和6.3%。年龄超过25岁与MDE风险增加独立相关。终生患有MDE的受试者中有16.3%曾尝试自杀，而未患MDE的受试者中自杀未遂率仅为0.2%。患有MDE的受试者中接受过任何类型医学治疗的比例为33.1%；其中，只有5.4%的人向心理健康专业人员寻求帮助。
需要进行全国性流行病学调查以进一步探索中国MDE的患病率。MDE治疗率低构成了一个亟待解决的重大公共卫生问题。
