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[精神障碍的患病率及1996年至2009年的趋势。NEMESIS-2研究结果]

[Prevalence of mental disorders, and trends from 1996 to 2009. Results from NEMESIS-2].

作者信息

de Graaf R, Ten Have M, van Gool C, van Dorsselaer S

机构信息

Trimbos-instituut, Utrecht.

出版信息

Tijdschr Psychiatr. 2012;54(1):27-38.

Abstract

BACKGROUND

Little is known about the prevalence and trends of mental disorders in the Dutch population.

AIM

To present the prevalences of lifetime and 12-month DSM-IV mood disorders, anxiety disorders, and substance use disorders and impulse-control disorders reported in NEMESIS-2 (Netherlands Mental Health Survey and Incidence Study), and to compare the 12-month prevalence of mood disorders, anxiety disorders and substance use disorders with estimates from the first study (NEMESIS-1).

METHOD

Between November 2007 and July 2009, face-to-face interviews were conducted among 6646 subjects aged 18-64 by means of the Composite International Diagnostic Interview 3.0. Trends in mental disorders were examined with these data and NEMESIS-1 data from 1996 (n = 7076).

RESULTS

The lifetime prevalence in NEMESIS-2 was 20.2% for mood disorder, 19.6% for anxiety disorder, 19.1% for substance use disorder and 9.2% for impulse-control or behaviour disorder. For the 12-month disorders, the prevalences were 6.1%, 10.1%, 5.6% and 2.1%, respectively. Between 1996 and 2007-2009, there was no change in the 12-month prevalence of anxiety disorder and substance use disorder. The 12-month prevalence of mood disorder decreased slightly but was no longer significant after differences in the sociodemographic variables between the two studies had been taken into account.

CONCLUSION

This study shows that in the Netherlands mental disorders occur fairly frequently. Over about a decade, no clear change was found in the mental health status of the population.

摘要

背景

对于荷兰人群中精神障碍的患病率及趋势,人们了解甚少。

目的

呈现《荷兰精神健康调查与发病率研究(NEMESIS - 2)》中所报告的终生及12个月内的DSM - IV情绪障碍、焦虑障碍、物质使用障碍和冲动控制障碍的患病率,并将情绪障碍、焦虑障碍和物质使用障碍的12个月患病率与第一项研究(NEMESIS - 1)的估计值进行比较。

方法

在2007年11月至2009年7月期间,通过综合国际诊断访谈3.0对6646名18 - 64岁的受试者进行了面对面访谈。利用这些数据以及1996年的NEMESIS - 1数据(n = 7076)对精神障碍的趋势进行了研究。

结果

NEMESIS - 2中情绪障碍的终生患病率为20.2%,焦虑障碍为19.6%,物质使用障碍为19.1%,冲动控制或行为障碍为9.2%。对于12个月内的障碍,患病率分别为6.1%、10.1%、5.6%和2.1%。在1996年至2007 - 2009年期间,焦虑障碍和物质使用障碍的12个月患病率没有变化。情绪障碍的12个月患病率略有下降,但在考虑了两项研究之间社会人口统计学变量的差异后,不再具有统计学意义。

结论

本研究表明,在荷兰精神障碍相当常见。在大约十年的时间里,未发现人群心理健康状况有明显变化。

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