1993-2007 年英国全国人口常见精神障碍的患病率和治疗情况。

Prevalence and treatment of common mental disorders in the English national population, 1993-2007.

机构信息

Nicola Spiers, PhD, Department of Health Sciences, University of Leicester, Leicester, UK; Tarik Qassem, MD, Division of Mental Health and Well-being, University of Warwick, Coventry, UK, and Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt, and Black Country Partnership NHS Foundation Trust, West Bromwich, UK; Paul Bebbington, PhD, FRCP, FRCPsych, Division of Psychiatry, Faculty of Brain Sciences, University College London, London, UK; Sally McManus, MSc, NatCen for Social Research, London, UK; Michael King, PhD, Division of Psychiatry, Faculty of Brain Sciences, University College London, London, UK; Rachel Jenkins, FRCPsych, Institute of Psychiatry at Kings College, London, UK; Howard Meltzer (deceased), PhD, Department of Health Sciences, University of Leicester, Leicester; Traolach S. Brugha, FRCPsych, Department of Health Sciences, University of Leicester, Leciester; UK.

出版信息

Br J Psychiatry. 2016 Aug;209(2):150-6. doi: 10.1192/bjp.bp.115.174979. Epub 2016 Jun 9.

DOI:10.1192/bjp.bp.115.174979

PMID:27284080

Abstract

BACKGROUND

The National Psychiatric Morbidity Surveys include English cross-sectional household samples surveyed in 1993, 2000 and 2007.

AIMS

To evaluate frequency of common mental disorders (CMDs), service contact and treatment.

METHOD

Common mental disorders were identified with the Clinical Interview Schedule - Revised (CIS-R). Service contact and treatment were established in structured interviews.

RESULTS

There were 8615, 6126 and 5385 participants aged 16-64. Prevalence of CMDs was consistent (1993: 14.3%; 2000: 16.0%; 2007: 16.0%), as was past-year primary care physician contact for psychological problems (1993: 11.3%; 2000: 12.0%; 2007: 11.7%). Antidepressant receipt in people with CMDs more than doubled between 1993 (5.7%) and 2000 (14.5%), with little further increase by 2007 (15.9%). Psychological treatments increased in successive surveys. Many with CMDs received no treatment.

CONCLUSIONS

Reduction in prevalence did not follow increased treatment uptake, and may require universal public health measures together with individual pharmacological, psychological and computer-based interventions.

摘要

背景

国家精神疾病发病率调查包括了分别于 1993 年、2000 年和 2007 年用英文进行的横断面家庭抽样调查。

目的

评估常见精神障碍（CMD）的频率、服务接触和治疗情况。

方法

采用临床访谈量表修订版（CIS-R）识别常见精神障碍。在结构访谈中确定服务接触和治疗情况。

结果

共有 8615、6126 和 5385 名 16-64 岁的参与者。CMD 的患病率是一致的（1993 年：14.3%；2000 年：16.0%；2007 年：16.0%），过去一年中因心理问题接受初级保健医生治疗的比例也是如此（1993 年：11.3%；2000 年：12.0%；2007 年：11.7%）。1993 年（5.7%）和 2000 年（14.5%）接受抗抑郁药治疗的 CMD 患者人数增加了一倍多，到 2007 年略有增加（15.9%）。心理治疗在连续的调查中有所增加。许多患有 CMD 的人没有接受治疗。