Noorbala Ahmad Ali, Bagheri Yazdi Seyed Abbas, Faghihzadeh Soghrat, Kamali Koorosh, Faghihzadeh Elham, Hajebi Ahmad, Akhondzadeh Shahin, Yahyavi Seyed Taha, Baluchi Soheila
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):S47-S50.
This research aims to determine the mental health status of population aged 15 and over in the province of Ilam in 2015.
The statistical population of this cross-sectional field survey consisted of residents of urban and rural areas of Ilam 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 Ilam, Dehloran and Eyvan 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 32.4% of individuals (37% of females, and 28.1% of males) were likely to have a mental disorder. The prevalence of suspected cases of mental disorders was 33% in urban and 31% in rural areas. The prevalence of mental disorders was higher in females, people living in urban areas, those aged 65 years and above, divorced or widowed, illiterate, and the retired compared to other groups. In addition, the prevalence increased with age. The prevalence of anxiety and somatization symptoms was higher than social dysfunction and depression. Moreover, the prevalence of these symptoms was higher in females than males.
Almost one third of the samples were likely to have a mental disorder. Therefore, the provincial authorities and health providers should take essential steps for providing and maintaining mental health services to promote community mental health.
本研究旨在确定2015年伊拉姆省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伊拉姆省城乡居民。采用系统随机整群抽样法选取了估计1200人的样本量。通过伊拉姆、德洛兰和埃万城市的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32.4%的个体（女性为37%，男性为28.1%）可能患有精神障碍。城市地区精神障碍疑似病例的患病率为33%，农村地区为31%。与其他群体相比，女性、城市居民、65岁及以上人群、离异或丧偶者、文盲以及退休人员中精神障碍的患病率更高。此外，患病率随年龄增长而增加。焦虑和躯体化症状的患病率高于社会功能障碍和抑郁。而且，这些症状在女性中的患病率高于男性。
几乎三分之一的样本可能患有精神障碍。因此，省级当局和卫生服务提供者应采取必要措施，提供并维持心理健康服务，以促进社区心理健康。
