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[比利时早发性精神障碍与教育程度之间的关联;一项人群研究]

[Associations between early-onset mental disorders and educational attainment in Belgium; a population study].

作者信息

Bruffaerts R P, Bonnewyn A, Demyttenaere K

出版信息

Tijdschr Psychiatr. 2010;52(3):133-42.

Abstract

BACKGROUND

There is no sufficient knowledge on the association between early-onset mental disorders and subsequent school dropout on the level of the Belgian general population.

AIM

To investigate the associations between early-onset mental disorders and subsequent school dropout.

METHOD

As part of the European Study on the Epidemiology of Mental Disorders of the World Mental Health Surveys of the World Health Organization, a representative random sample of non-institutionalised Belgians aged 18 or older (n = 1,043) were interviewed between April 2001 and June 2002. With the Composite International Diagnostic Interview (version 3.0), respondents were assessed for the presence and age of onset of 15 dsm-iv mental disorders. Logistic regression analyses were performed in order to investigate the association between mental disorders and subsequent failure to complete elementary and/or secondary education, failure to proceed to tertiary education (when holding a secondary education leaving certificate) and failure to completion of tertiary education.

RESULTS

Mood disorders were significantly associated with premature termination of secondary education (or = 2.4). Anxiety disorders (or = 2.0), drug abuse disorders (or = 11.2), and drug dependence disorders (or = 19.4) were significantly associated with failure to proceed to tertiary education. The cumulative proportion of early school terminations attributable to earlyonset mental disorders was estimated at 6.3%.

CONCLUSION

Early-onset mental disorders have a considerable impact on school termination prior to completion in Belgium.

摘要

背景

在比利时普通人群层面,对于早发性精神障碍与随后辍学之间的关联尚无足够了解。

目的

调查早发性精神障碍与随后辍学之间的关联。

方法

作为世界卫生组织世界心理健康调查欧洲精神障碍流行病学研究的一部分,在2001年4月至2002年6月期间,对比利时18岁及以上非机构化居民的代表性随机样本(n = 1043)进行了访谈。使用复合国际诊断访谈(第3.0版)评估受访者15种《精神疾病诊断与统计手册》第四版精神障碍的存在情况及发病年龄。进行逻辑回归分析,以调查精神障碍与随后未能完成小学和/或中学教育、未能进入高等教育(持有中学毕业证书时)以及未能完成高等教育之间的关联。

结果

情绪障碍与中学教育过早终止显著相关(比值比 = 2.4)。焦虑障碍(比值比 = 2.0)、药物滥用障碍(比值比 = 11.2)和药物依赖障碍(比值比 = 19.4)与未能进入高等教育显著相关。归因于早发性精神障碍的早期辍学累积比例估计为6.3%。

结论

早发性精神障碍在比利时对未完成学业前的辍学有相当大的影响。

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