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2006年至2010年间法国全国劳动人口中重度抑郁症和广泛性焦虑症的变化。

Changes in major depressive and generalized anxiety disorders in the national French working population between 2006 and 2010.

作者信息

Malard Lucile, Chastang Jean-François, Niedhammer Isabelle

机构信息

INSERM, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, F-75013, Paris, France; Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, F-75013, Paris, France; Université de Versailles St-Quentin, France.

INSERM, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, F-75013, Paris, France; Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, F-75013, Paris, France.

出版信息

J Affect Disord. 2015 Jun 1;178:52-9. doi: 10.1016/j.jad.2015.02.027. Epub 2015 Mar 5.

Abstract

BACKGROUND

This study aimed at assessing the changes in mental disorders in the French working population between 2006 and 2010, using nationally representative prospective data and a structured diagnostic interview for major depressive episode (MDE) and generalized anxiety disorder (GAD), and also at exploring the differential changes in mental disorders according to age, origin, occupation, public/private sector, self-employed/employee status and work contract.

METHODS

The data came from the prospective national representative Santé et Itinéraire Professionnel (SIP) survey, including a sample of 5600 French workers interviewed in 2006 and 2010. The Mini International Neuropsychiatric Interview (MINI) was used to measure MDE and GAD. Analyses were performed using weighted generalized estimation equations, and were stratified by gender.

RESULTS

No changes in MDE and GAD were observed for both genders among the working population. No differential changes were observed, except one: the prevalence of GAD increased among women working in the public sector while there was no change among women in the private sector.

LIMITATIONS

Two data collections over a 4-year period may not capture the effects of the crisis on mental disorders properly.

CONCLUSION

No changes in mental disorders between 2006 and 2010 were found but the increase in the prevalence of anxiety among women in the public sector may be of particular interest for prevention policies. High levels of social protection in France might contribute to explain these non-significant results.

摘要

背景

本研究旨在利用具有全国代表性的前瞻性数据以及针对重度抑郁发作(MDE)和广泛性焦虑障碍(GAD)的结构化诊断访谈,评估2006年至2010年间法国劳动人口中精神障碍的变化情况,并探讨根据年龄、出身、职业、公共/私营部门、个体经营/雇员身份及工作合同划分的精神障碍的差异变化。

方法

数据来自具有全国代表性的前瞻性Santé et Itinéraire Professionnel(SIP)调查,包括2006年和2010年接受访谈的5600名法国工人样本。采用迷你国际神经精神病学访谈(MINI)来测量MDE和GAD。分析使用加权广义估计方程进行,并按性别分层。

结果

劳动人口中男性和女性的MDE和GAD均未出现变化。未观察到差异变化,但有一个例外:公共部门工作的女性中GAD患病率上升,而私营部门的女性则无变化。

局限性

4年期间的两次数据收集可能无法恰当捕捉危机对精神障碍的影响。

结论

2006年至2010年间未发现精神障碍有变化,但公共部门女性焦虑患病率的上升可能对预防政策具有特别意义。法国高水平的社会保护可能有助于解释这些无显著差异的结果。

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