Liu Shan-Ming, Wei Geng, Zhang Wei, Xiang Yun, Huang Xiao-Qi, Yang Chuang, Huang Wen-Jun, Xie Wei-Jue, He Xia, Su Xiao-Fan, Wang Jia, Ciren Pingcuo, Bima Zuoga, Ci Pu, Za Sang, Liu Xie-He
Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2012 Mar;43(2):210-3, 225.
To investigate the prevalence of four common neuropsychiatric disorders in Tibet, with an aim to providing information support to health planning.
The survey was carried out in four regions of Tibet. The sampling strategy was adapted from that of a national psychiatric epidemiological survey in China in 1982 and 1993. The Neurosis Screening Inventory, Screening Inventory for Alcohol Dependence and Related Problems, Child Intelligence Screening Inventory, and a questionnaire for the Detection of Epileptic Seizures were administered to the respondents through face to face interview. Those with a positive response and 10% of those with a negative response were further interviewed with the Structured Clinical Interview for DSM-IV Axis I Disorders (research version) (SCID-I ). Anxiety disorders and alcohol used disorders were diagnosed according to the American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (4th edition) (DSM-IV). Hysteria and mental retardation were diagnosed according to the International Classification of Diseases, 10th edition (ICD-10), and the Chinese Classification of Mental Disorders, 3rd edition (CCMD-3).
The point prevalence of neuroses, alcohol-related disorders, mental retardation and epilepsy was 2. 56%, 4. 06%, 0. 28% and 0. 68%, respectively. The lifetime prevalence of neuroses, alcohol-related disorders, mental retardation and epilepsy was 2. 62%, 4. 24%, 0. 28% and 0.72%, respectively.
Alcohol-related disorders and neuroses are the two common mental health problems in Tibet. Mental retardation and epilepsy are the two serious neuropsychiatric disorders affecting Tibetan children and adolescence. These disorders should be identified as priorities in the reginonal health planning in Tibet.
调查西藏四种常见神经精神疾病的患病率，旨在为卫生规划提供信息支持。
在西藏四个地区开展调查。抽样策略采用自1982年和1993年中国全国性精神疾病流行病学调查。通过面对面访谈向受访者发放神经症筛查量表、酒精依赖及相关问题筛查量表、儿童智力筛查量表以及癫痫发作检测问卷。对阳性应答者和10%的阴性应答者进一步采用《精神疾病诊断与统计手册》第四版轴I障碍结构化临床访谈（研究版）（SCID-I）进行访谈。焦虑症和酒精使用障碍依据美国精神病学协会《精神疾病诊断与统计手册》（第4版）（DSM-IV）进行诊断。癔症和智力发育迟缓依据《国际疾病分类》第10版（ICD-10）以及《中国精神障碍分类与诊断标准》第3版（CCMD-3）进行诊断。
神经症、酒精相关障碍、智力发育迟缓及癫痫的时点患病率分别为2.56%、4.06%、0.28%和0.68%。神经症、酒精相关障碍、智力发育迟缓及癫痫的终生患病率分别为2.62%、4.24%、0.28%和0.72%。
酒精相关障碍和神经症是西藏常见的两种心理健康问题。智力发育迟缓和癫痫是影响西藏儿童及青少年的两种严重神经精神疾病。在西藏地区卫生规划中应将这些疾病列为重点。
