Binbay Tolga, Arık Binbay Deniz, Ulaş Halis, Alptekin Köksal
Turk Psikiyatri Derg. 2016 Fall;27(3):151-160.
To provide registry-based prevalence estimates of schizophrenia, schizoaffective, and bipolar I (BPI) disorders in a defined area of Sinop, Turkey.
All patients that presented to primary and secondary health services over three year time (2009-2011) with diagnosis of psychotic disorder (F06.1, F06.2, F10.5, F12.5, F19.5, F20-29, F30-31, F32.3, F33.3, F39 in ICD-10) covering a population of 73,503 aged 15-64 were included via case registry systems. All accessed case records were pooled. Case ascertainment and diagnostic assessment were achieved through structured clinical interview for DSM-IV, phone interview, or farming a best-estimated diagnosis via records on registers.
Registries provided 1,410 probable cases. The successful clinical reappraisal rate was 66.8% (n: 955) while, the final diagnoses were determined via phone interview or best-estimate diagnosis in the rest of the cases. Seven hundred twenty seven individuals were diagnosed with DSM-IV yielding a prevalence of 9.8 per 1,000 (95% confidence interval [CI]: 8.2-11.5). Registry-based prevalence of schizophrenia, schizoaffective disorder, BPI disorder, and depression with psychotic features were 3.6 (95% CI: 3.0-4.2), 1.1 (95% CI: 0.8-1.4), 2.7 (95% CI: 2.0-3.3), and 1.0 (95% CI: 0.6-1.3) per 1,000, respectively.
Ten individuals per 1,000 adult persons admit for any disorder with psychotic symptoms. Registry-based prevalence estimates are lower than the lifetime prevalence estimates. However, analyses of administrative data appear to provide information needed for effectively plan and implement psychiatric services.
提供土耳其锡诺普特定地区基于登记系统的精神分裂症、分裂情感性障碍和双相I型障碍（BPI）的患病率估计。
通过病例登记系统纳入在三年时间（2009 - 2011年）内到初级和二级卫生服务机构就诊且诊断为精神障碍（ICD - 10中的F06.1、F06.2、F10.5、F12.5、F19.5、F20 - 29、F30 - 31、F32.3、F33.3、F39）的所有患者，覆盖73,503名15 - 64岁的人群。所有获取的病例记录进行汇总。通过针对DSM - IV的结构化临床访谈、电话访谈或根据登记记录形成最佳估计诊断来进行病例确定和诊断评估。
登记系统提供了1410例可能病例。成功的临床重新评估率为66.8%（n = 955），其余病例通过电话访谈或最佳估计诊断确定最终诊断。727人被诊断为DSM - IV疾病，患病率为每1000人中有9.8例（95%置信区间[CI]：8.2 - 11.5）。基于登记系统的精神分裂症、分裂情感性障碍、BPI障碍以及伴有精神病性特征的抑郁症的患病率分别为每1000人中有3.6例（95% CI：3.0 - 4.2）、1.1例（95% CI：0.8 - 1.4）、2.7例（95% CI：2.0 - 3.3）和1.0例（95% CI：0.6 - 1.3）。
每1000名成年人中有10人因任何伴有精神病性症状的疾病就诊。基于登记系统的患病率估计低于终生患病率估计。然而，行政数据分析似乎能提供有效规划和实施精神科服务所需的信息。
