Zhang Ting-Ting, Huang Yue-Qin, Liu Zhao-Rui, Chen Hong-Guang
Department of Social Psychiatry and Behavioral Medicine, Peking University Sixth Hospital (Institute of Mental Health), National Clinical Research Center for Mental Disorders and Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing 100191, China.
Chin Med J (Engl). 2016 Aug 5;129(15):1765-71. doi: 10.4103/0366-6999.186649.
Personality disorders can lead to some disability. However, little is known about the disability prevalence and function impairments. This study aimed to describe the disability prevalence attributed to personality disorders, its distribution, impairments of daily activities and social functions, and risk factors in China.
Using a descriptive and analytic epidemiological method, data from the Second China National Sample Survey on Disability in 2006 were analyzed. The disability prevalence attributed to personality disorders, its distribution in different people and regions, and risk factors were statistically calculated.
Respondents included 1,909,205 adults. The disability prevalence rate attributed to personality disorders in China was 5.9/100,000. The disability rate attributed to personality disorders of males was higher than that of females (P = 0.012), while the rate of the unemployed was higher than that of the employed (P < 0.001). Furthermore, the rates of unmarried/divorced/widowed people and the illiterate population were higher than those of married and educated people (P < 0.001). Regarding the severity of disability attributable to personality disorders, mild disability accounted for a majority or 60% of the respondents. The data showed that disability mainly impaired respondents' ability to engage in daily activities, get along with people, and participate in social situations. According to the case-control study, marriage, employment, and higher education were protective factors of disability.
The prevalence of disability attributed to personality disorders is low in China and always leads to mild disability. The distribution of disability attributed to personality disorders also varies in the Chinese population.
人格障碍可导致一定程度的残疾。然而,关于残疾患病率及功能损害情况,人们知之甚少。本研究旨在描述中国人格障碍所致残疾的患病率、分布情况、日常活动及社会功能损害情况以及危险因素。
采用描述性和分析性流行病学方法,对2006年第二次全国残疾人抽样调查的数据进行分析。对人格障碍所致残疾的患病率、在不同人群和地区的分布以及危险因素进行统计学计算。
调查对象包括1909205名成年人。中国人格障碍所致残疾患病率为5.9/10万。男性人格障碍所致残疾率高于女性(P = 0.012),失业者的残疾率高于就业者(P < 0.001)。此外,未婚/离异/丧偶者及文盲人群的残疾率高于已婚和受过教育的人群(P < 0.001)。关于人格障碍所致残疾的严重程度,轻度残疾占大多数,即60%的调查对象。数据显示,残疾主要损害调查对象参与日常活动、与人相处及参与社交场合的能力。根据病例对照研究,婚姻、就业和高等教育是残疾的保护因素。
中国人格障碍所致残疾的患病率较低,且多导致轻度残疾。人格障碍所致残疾在中国人群中的分布也存在差异。