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[大都市17岁青少年人群中的精神障碍患病率及精神活性物质使用情况]

[Prevalence of mental disorders and psychoactive substance use in metropolitan 17-year old youth population].

作者信息

Modrzejewska Renata, Bomba Jacek

机构信息

Klinika Psychiatrii Dzieci i Młodziezy UJ CM, Kraków.

出版信息

Psychiatr Pol. 2010 Jul-Aug;44(4):579-92.

Abstract

AIM

To determine the extent to which mental disorders (depressive disorders, anxiety disorders, eating disorders) and psychoactive substance use are prevalent among Krakow secondary school adolescents in the late adolescent phase.

METHOD

A representative sample of the population of Krakow secondary school pupils was tested. Two-stage draw method identified a group of 1933 2nd form pupils of all types of secondary schools: grammar schools, technical schools and vocational schools (17-year-olds). They were tested using the following screening questionnaires: Beck Depression Scale, EAT-26 eating disorders scale, Obsessive-compulsive disorder (Leyton) scale and the author's drug questionnaire.

RESULTS

Girls declared symptoms of mental disorders twice as often as boys (41.2% vs. 22.7%). Among girls, the most common disorders were: depressive symptoms (33.6%), eating disorder symptoms (18.7%) and obsessive-compulsive disorders (5.4%). And in the boys group: depressive symptoms (22.7%), eating disorder (7.3%) and obsessive-compulsive symptoms (3.4%). Findings were obtained concerning the prevalence of substance use in the boys and girls group (73% vs. 68%), mainly alcohol, as well as alcohol and cigarettes and alcohol, cigarettes and drugs.

CONCLUSIONS

The prevalence of mental disorders in the population of 17-year-olds is significant; it concerns especially depressive symptoms and eating disorder symptoms. A significant prevalence of psychoactive substance use was found in this age group, mainly alcohol and mixed type substance use: alcohol and cigarettes and alcohol, cigarettes and drugs.

摘要

目的

确定青少年晚期克拉科夫市中学青少年中精神障碍(抑郁症、焦虑症、饮食失调症)和精神活性物质使用的普遍程度。

方法

对克拉科夫市中学学生群体进行了代表性抽样测试。采用两阶段抽样方法确定了一组1933名来自各类中学(文法学校、技术学校和职业学校)的二年级学生(17岁)。使用以下筛查问卷对他们进行测试:贝克抑郁量表、EAT - 26饮食失调量表、强迫症(莱顿)量表以及作者自编的药物问卷。

结果

女孩宣称有精神障碍症状的频率是男孩的两倍(41.2%对22.7%)。在女孩中,最常见的障碍是:抑郁症状(33.6%)、饮食失调症状(18.7%)和强迫症(5.4%)。而在男孩组中:抑郁症状(22.7%)、饮食失调(7.3%)和强迫症状(3.4%)。还得出了男孩和女孩组中物质使用的患病率(73%对68%),主要是酒精,以及酒精与香烟、酒精与香烟及毒品的混合使用情况。

结论

17岁人群中精神障碍的患病率较高;尤其涉及抑郁症状和饮食失调症状。在这个年龄组中发现精神活性物质使用的患病率较高,主要是酒精以及酒精与香烟、酒精与香烟及毒品的混合类型使用。

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