Sundquist Jan, Ohlsson Henrik, Sundquist Kristina, Kendler Kenneth S
Center for Primary Health Care Research, Lund University, Malmö, Sweden.
Department of Psychiatry, Virginia Commonwealth University, Richmond, VA, USA.
BMC Psychiatry. 2017 Jun 30;17(1):235. doi: 10.1186/s12888-017-1381-4.
The overall aim of this study is to present descriptive data regarding the treated prevalence of nine common psychiatric and substance use disorders in the first Primary Care Registry (PCR) in Sweden: Major Depression (MD), Anxiety Disorders (AD), Obsessive-Compulsive Disorder (OCD), Adjustment Disorder (AdjD), Eating Disorders (ED), Personality Disorder (PD), Attention Deficit Hyperactivity Disorder (ADHD), Alcohol Use Disorder (AUD) and Drug Abuse (DA).
We selected 5,397,675 individuals aged ≥18. We examined patterns of comorbidity among these disorders and explored the association between diagnoses in the PCR and diagnoses obtained from Hospital and Specialist care. We explored the proportion of patients with these nine disorders that are only treated in primary health care.
For four of our disorders, 80% or more of the cases were present only in the PCR: AdjD, DA, AD and MD. For two disorders (OCD and ED), 65-70% of cases were only found in the PCR. For three disorders (PD, AUD, and ADHD), 45-55% of the patients were only present in the PCR.
The PCR will, in the future, likely prove to be an important tool for studies in psychiatric epidemiology.
本研究的总体目标是提供有关瑞典首个初级保健登记处（PCR）中九种常见精神疾病和物质使用障碍治疗患病率的描述性数据：重度抑郁症（MD）、焦虑症（AD）、强迫症（OCD）、适应障碍（AdjD）、进食障碍（ED）、人格障碍（PD）、注意力缺陷多动障碍（ADHD）、酒精使用障碍（AUD）和药物滥用（DA）。
我们选取了5397675名年龄≥18岁的个体。我们研究了这些疾病之间的共病模式，并探讨了PCR中的诊断与医院和专科护理中获得的诊断之间的关联。我们探究了仅在初级卫生保健机构接受治疗的这九种疾病患者的比例。
对于我们研究的四种疾病，80%或更多的病例仅出现在PCR中：AdjD、DA、AD和MD。对于两种疾病（OCD和ED），65 - 70%的病例仅在PCR中被发现。对于三种疾病（PD、AUD和ADHD），45 - 55%的患者仅出现在PCR中。
未来，PCR可能会被证明是精神疾病流行病学研究的重要工具。
