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["精神障碍流行病学与心理健康护理可及性。波兰EZOP研究方法"]

["Epidemiology of mental disorders and access to mental health care. EZOP - Poland" - research methodology].

作者信息

Kiejna Andrzej, Adamowski Tomasz, Piotrowski Patryk, Moskalewicz Jacek, Wojtyniak Bogdan, Świątkiewicz Grażyna, Stokwiszewski Jakub, Kantorska-Janiec Monika, Zagdańska Marta, Kessler Ronald

机构信息

Katedra Psychiatrii UM we Wrocławiu.

Zakład Badań Nad Alkoholizmem i Toksykomaniami IPiN.

出版信息

Psychiatr Pol. 2015 Jan-Feb;49(1):5-13. doi: 10.12740/PP/30810.

DOI:10.12740/PP/30810
PMID:25844406
Abstract

AIM

Since the second half of the twentieth century, with the development of structured diagnostic tools, population based studies on epidemiology of mental disorders are carried out. A special role is played by World Mental Health Survey Initiative which brings together a group of countries from different continents in order to carry out research projects according to standard methodology using the Composite International Diagnostic Interview. Polish EZOP study, which was conducted in accordance with the guidelines of WMH joined that group. The project was implemented under the Norwegian Financial Mechanism and the Financial Mechanism of the European Economic Area. Its aim was to estimate the prevalence of mental disorders in the Polish population of adults, assess the distance to mental disorders and to obtain knowledge about the perception of psychiatric disorders and treatment.

METHODS

The research tool was the Polish version of CIDI-WHO ver.3.0., which was developed for the project. The study was performed in accordance with the guidelines of WMH (cognitive interviews, interviewers training, standardization of field procedures) using electronic version of CIDI questionnaire (CAPI) within the 2-stages procedure in randomly selected representative sample of the Polish population aged 18-64. The quality of the study was systematically controlled and reported by MB SMG/KRC, and completed data (10,081 interviews) were sent to the Department-Centre of Monitoring and Analyses of Population Health NIPH-NIH. After the initial analysis data were sent to the analytical center of WMH, which applied additional cleaning tools and added new variables representing psychiatric diagnoses in DSM-IV and ICD-10.

摘要

目的

自20世纪下半叶以来,随着结构化诊断工具的发展,开展了基于人群的精神障碍流行病学研究。世界心理健康调查倡议发挥了特殊作用,该倡议汇集了来自不同大陆的一组国家,以便按照标准方法使用综合国际诊断访谈开展研究项目。按照世界心理健康调查倡议指南开展的波兰EZOP研究也加入了该组织。该项目是在挪威金融机制和欧洲经济区金融机制下实施的。其目的是估计波兰成年人群中精神障碍的患病率,评估与精神障碍的差距,并获取有关对精神疾病和治疗的认知的知识。

方法

研究工具是为该项目开发的波兰版CIDI-WHO ver.3.0。该研究按照世界心理健康调查倡议的指南(认知访谈、访谈员培训、现场程序标准化)进行,在随机抽取的18 - 64岁波兰代表性人群样本的两阶段程序中使用CIDI问卷的电子版(计算机辅助个人访谈)。该研究的质量由MB SMG/KRC进行系统控制和报告,完整数据(10,081次访谈)被发送至国家公共卫生研究所 - 国立卫生研究院的人口健康监测与分析部门 - 中心。初步分析后,数据被发送至世界心理健康调查倡议的分析中心,该中心应用了额外的清理工具并添加了代表《精神疾病诊断与统计手册》第四版(DSM-IV)和《国际疾病分类》第十版(ICD-10)中精神疾病诊断的新变量。

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