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尼日利亚大学生中的社交恐惧症:患病率、相关因素及共病情况。

Social phobia in Nigerian university students: prevalence, correlates and co-morbidity.

作者信息

Bella Tolulope T, Omigbodun Olayinka O

机构信息

Dept. of Psychiatry, University College Hospital, Ibadan, Nigeria.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2009 Jun;44(6):458-63. doi: 10.1007/s00127-008-0457-3. Epub 2008 Oct 31.

DOI:10.1007/s00127-008-0457-3
PMID:18979054
Abstract

BACKGROUND

Social phobia is considered to be among the most common anxiety disorders. Despite its early onset, chronic course, disability and co-morbidity there is virtually no information about this disorder in young people in sub-Saharan Africa.

OBJECTIVES

The prevalence, correlates, and co-morbidity of social phobia in a Nigerian undergraduate university population were determined.

METHODS

A cross-sectional survey of students at the University of Ibadan was carried out. Instruments used were the Composite International Diagnostic Interview (CIDI), the Alcohol Use Identification Test, the General Health Questionnaire and the WHO-Disability Assessment Schedule.

RESULTS

The lifetime and 12-month prevalence of social phobia were 9.4 and 8.5% respectively. On bivariate analysis, social phobia was significantly associated with lifetime and 12-month depression, psychological distress and reporting poor overall health (P < 0.05). Lifetime depression, psychological distress and perceived poor overall health remained strongly and independently associated with social phobia after regression analysis.

CONCLUSION

The prevalence of social phobia among Nigerian university students is similar to what has been found in other parts of the world. There is a need for increased awareness of this disorder and its association with depression so that sufferers can receive early treatment to prevent long-term disability.

摘要

背景

社交恐惧症被认为是最常见的焦虑症之一。尽管其起病早、病程慢性、导致残疾且常合并其他疾病,但在撒哈拉以南非洲的年轻人中,关于这种疾病几乎没有相关信息。

目的

确定尼日利亚大学生群体中社交恐惧症的患病率、相关因素及合并症情况。

方法

对伊巴丹大学的学生进行了一项横断面调查。使用的工具包括综合国际诊断访谈(CIDI)、酒精使用识别测试、一般健康问卷和世界卫生组织残疾评估量表。

结果

社交恐惧症的终生患病率和12个月患病率分别为9.4%和8.5%。在双变量分析中,社交恐惧症与终生及12个月的抑郁、心理困扰以及报告总体健康状况差显著相关(P<0.05)。在回归分析后,终生抑郁、心理困扰和感知到的总体健康状况差仍与社交恐惧症强烈且独立相关。

结论

尼日利亚大学生中社交恐惧症的患病率与世界其他地区的情况相似。有必要提高对这种疾病及其与抑郁症关联的认识,以便患者能够得到早期治疗以预防长期残疾。

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