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西班牙格拉纳达的重度抑郁症患病率及其相关因素:GranadΣp 研究结果。

Prevalence and correlates of major depression in Granada, Spain: Results from the GranadΣp study.

机构信息

1 International School for Postgraduate Studies, University of Granada, Granada, Spain.

2 Hospital de Puerto Real, Cádiz, Spain.

出版信息

Int J Soc Psychiatry. 2018 Aug;64(5):450-458. doi: 10.1177/0020764018771405. Epub 2018 May 29.

Abstract

BACKGROUND

Major depression is one of the world's leading causes of disability. Up-to-date information about the epidemiology of this disorder is key to health care planning.

AIM

The aim of our study is to report prevalence and correlates of current major depressive disorder (MDD) in the province of Granada, Southern Spain.

METHODS

The GranadΣp is a cross-sectional study based on a community-dwelling adult population living in the province of Granada, Southern Spain. Community-dwelling adults aged 18-80 years ( n = 810) were interviewed using the Mini-International Neuropsychiatric Interview (MINI). A variety of exposure assessments were also undertaken.

RESULTS

Point (2 weeks) prevalence of MDD in the Granada population was 5.6%. Positive family history of mental illness, high degree of neuroticism, high number of life threatening events (LTE), poor physical health status, cognitive impairment and cannabis use were independently associated with MDD in the multivariate regression model. Being female was also associated with MDD, but the significance disappeared after adjusting for neuroticism and physical health.

CONCLUSION

Prevalence of MDD in the Granada population is higher than expected. The effects of the financial crisis could be partially accountable for this excess in prevalence. Six variables were found to be independently associated with MDD. Association between female sex and depression may be partially explained by the confounding effect of neuroticism.

摘要

背景

重度抑郁症是全球致残的主要原因之一。了解该疾病的最新流行病学信息是医疗保健规划的关键。

目的

本研究旨在报告西班牙南部格拉纳达省目前重度抑郁症(MDD)的患病率和相关因素。

方法

GranadΣp 是一项基于西班牙南部格拉纳达省社区居住的成年人群的横断面研究。对年龄在 18-80 岁的社区居住成年人(n=810)进行了 Mini-国际神经精神访谈(MINI)访谈。还进行了各种暴露评估。

结果

格拉纳达人群的 MDD 点(2 周)患病率为 5.6%。有精神病史、神经质程度高、发生危及生命的事件多、身体健康状况差、认知障碍和使用大麻与多变量回归模型中的 MDD 独立相关。女性也与 MDD 相关,但在调整神经质和身体健康状况后,这种关联就消失了。

结论

格拉纳达人群的 MDD 患病率高于预期。金融危机的影响可能部分导致了这种患病率的增加。有六个变量被发现与 MDD 独立相关。性别与抑郁症之间的关联可能部分可以用神经质的混杂效应来解释。

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