Gómez-Restrepo Carlos, Tamayo Martínez Nathalie, Bohórquez Adriana, Rondón Martín, Medina Rico Mauricio, Rengifo Hernet, Bautisa Nubia
MD Psiquiatra, Psiquiatría de Enlace, MSc Epidemiología Clínica, Psicoanalista. Profesor titular Director Departamento Epidemiología Clínica y Bioestadística, Departamento Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia.
MD Psiquiatra, MSc (cand) Epidemiología Clínica, Psiquiatra de Enlace. Investigadora Departamento Epidemiología Clínica y Bioestadística, Pontifica Universidad Javeriana, Bogotá, Colombia.
Rev Colomb Psiquiatr. 2016 Dec;45 Suppl 1:58-67. doi: 10.1016/j.rcp.2016.04.009. Epub 2016 Jun 30.
Mental disorders are the first causes of disability adjusted life years (DALY), contributing with the 7.4%. This value increases as the DALYs of the transmittable diseases decrease.
To determine the prevalence and associated factors of the major depressive and anxious disorders.
Data obtained from the IV Mental Health Survey with representation from 5 regions. A computerised interview was conducted, focusing on the most frequent anxiety and depressive disorders, using the CIDI CAPI 3.0. A sample of 10,870 adults over 18 years old was obtained.
The lifetime prevalence of any of these disorders is 10.1% (95% CI: 8.8-11.5) in the population between 18 and 44 years, and of 7.7% (95% CI: 6.5-9.1) in those older than 45 years. The prevalence in the last 12 months was 5.1% (95% CI: 4.3-6.0) in the younger group, and 2.3% (95% CI: 1.8-3.0) in the older group. Of the people with evaluated mental disorders, 17.6% (95% CI: 13.1-23.4) had 2 or more disorders, a comorbidity that is more common in the female population (20.4%, 95% CI: 14.2-28.3) than in males (13.5%, 95% CI: 7.9-22.0). Major depressive disorder is the most prevalent of the disorders, with a lifetime prevalence of 4.3% (95% CI: 3.7-5.0). After adjusting in a multivariate model, being divorced or widowed (OR=1.3), previous suicide attempt (OR=3.3), and having 6 or more features of border-line personality, were associated with an increased risk of presenting with any of the studied disorders.
Anxiety and depressive mental disorders are an important health burden in Colombia.
精神障碍是导致伤残调整生命年(DALY)的首要原因,占比7.4%。随着传染病导致的DALY下降,这一数值会上升。
确定重度抑郁和焦虑障碍的患病率及相关因素。
数据来自于涵盖5个地区的第四次心理健康调查。采用计算机辅助面访,使用CIDI CAPI 3.0,重点关注最常见的焦虑和抑郁障碍。获得了10870名18岁以上成年人的样本。
在18至44岁人群中,这些障碍中任何一种的终生患病率为10.1%(95%置信区间:8.8 - 11.5),45岁以上人群中为7.7%(95%置信区间:6.5 - 9.1)。在较年轻组中,过去12个月的患病率为5.1%(95%置信区间:4.3 - 6.0),在较年长组中为2.3%(95%置信区间:1.8 - 3.0)。在患有精神障碍的人群中,17.6%(95%置信区间:13.1 - 23.4)患有两种或更多种障碍,这种共病在女性人群(20.4%,95%置信区间:14.2 - 28.3)中比男性(13.5%,95%置信区间:7.9 - 22.0)中更常见。重度抑郁症是最常见的障碍,终生患病率为4.3%(95%置信区间:3.7 - 5.0)。在多变量模型中进行调整后,离婚或丧偶(比值比=1.3)、既往自杀未遂(比值比=3.3)以及具有6种或更多边缘型人格特征,与出现任何一种所研究障碍的风险增加相关。
焦虑和抑郁性精神障碍是哥伦比亚的一项重要健康负担。