Noorbala Ahmad Ali, Bagheri Yazdi Seyed Abbas, Faghihzadeh Soghrat, Kamali Koorosh, Faghihzadeh Elham, Hajebi Ahmad, Akhondzadeh Shahin, Shakiba Alia, Baftahchi Shirin, Skandari Bijan
Psychosomatic Medicine Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Mental Health, Ministry of Health and Medical Education of Iran, Tehran, Iran.
Arch Iran Med. 2017 Nov 1;20(11 Suppl. 1):S31-S34.
The main objective of this study was to determine the mental health status of population aged 15 and over in the province of Gilan in 2015.
The statistical population of this cross-sectional field survey consisted of residents of urban and rural areas of Fars in Iran. An estimated sample size of 1200 people was chosen using systematic random cluster sampling. The access was provided by the contribution of Geographical Post Office of Rasht, Fouman, and Hashtpar cities. The General Health Questionnaire-28 (GHQ-28) was used as the screening tool for mental disorders. The analysis of data in the current study was carried out using the SPSS-18 software.
Using GHQ traditional scoring method, the results showed that 18% of the studied population (19.3% of the females and 16.6% of the males) were considered as likely cases. The prevalence rate of mental disorders was 18.7% for urban and 17.7% for rural areas. Prevalence rates of somatization and anxiety were higher than social dysfunction and depression and women revealed higher prevalence for these disorders compared with men. It was also shown that the prevalence rate significantly increased with age and was higher in women, people aged 65 and above, urban residents, widowed or divorced, illiterate, and unemployed people.
The results of this study showed that about a fifth of the people in the province are suspected to have mental disorders. Comparing the results of the current survey with those of the study conducted in 1999 suggests that the prevalence of mental disorders is on the decrease in this province (from 25.2% in 1999 to 18% in 2015). Therefore, it seems vital that the officials take action in order to improve and maintain mental health status of the people who are at risk.
本研究的主要目的是确定2015年吉兰省15岁及以上人群的心理健康状况。
这项横断面实地调查的统计人群包括伊朗法尔斯省城乡居民。采用系统随机整群抽样法选取了估计1200人的样本量。通过拉什特、福曼和哈什帕尔市地理邮局的协助获取样本。使用一般健康问卷-28（GHQ-28）作为精神障碍的筛查工具。本研究中的数据分析使用SPSS-18软件进行。
采用GHQ传统评分方法，结果显示18%的研究人群（女性为19.3%，男性为16.6%）被视为可能患病者。城市地区精神障碍患病率为18.7%，农村地区为17.7%。躯体化和焦虑的患病率高于社会功能障碍和抑郁，且女性在这些障碍方面的患病率高于男性。还表明患病率随年龄显著增加，且在女性、65岁及以上人群、城市居民、丧偶或离异者、文盲和失业者中更高。
本研究结果表明该省约五分之一的人疑似患有精神障碍。将本次调查结果与1999年进行的研究结果相比较表明，该省精神障碍患病率在下降（从1999年的25.2%降至2015年的18%）。因此，官员们采取行动改善和维持高危人群的心理健康状况似乎至关重要。
