Stagnaro Juan C, Cía Alfredo, Vázquez Néstor, Vommaro Horacio, Nemirovsky Martín, Serfaty Edith, Sustas Sebastián E, Medina Mora María E, Benjet Corina, Aguilar-Gaxiola Sergio, Kessler Ronald
Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, Argentina.
Vertex. 2018 Nov;XXIX(142):275-299.
In this paper we report the findings of the first "Epidemiological study of mental health in the general population of Argentina" in the framework of the World Mental Health Survey Initiative WHO / Harvard, in collaboration with the Faculty of Medicine of the University of Buenos Aires and the Asociación de Psiquiatras Argentinos (APSA) with funding from the Ministry of Health. Methodology: A multistage probabilistic household survey was conducted using the Composite International Diagnostic Interview (CIDI). The survey was conducted on 3,927 people aged 18 and over (no age limit), with fixed residence in one of the eight largest urban areas in the country (Buenos Aires, Córdoba, Corrientes-Resistencia, Mendoza, Neuquén, Rosario, Salta and Tucumán), representing approximately 50.1% of the adults living in the country. The response rate was 77%. Results: The lifetime prevalence of any mental disorder in the general population of Argentina over 18 years of age was 29.1% and the projected life risk up to 75 years of age was 37.1%. The disorders with the highest life prevalence were Major Depressive Disorder (8.7%), Alcohol Abuse Disorder (8.1%) and Specific Phobia (6.8%). Anxiety Disorders were the most prevalent group (16.4%), followed by Mood Disorders (12.3%), Substance Disorders (10.4%), and Impulse Control Disorders (2.5%). The prevalence in the last 12 months of any mental disorder was 14.8%, a quarter of wich were classified as severe. 11.6% received treatment in the previous 12 months and only 30.2% of those who suffered a severe disorder received it. The results provide essential data for health planning and implementation and the training of the mental health workforce.
在世界卫生组织/哈佛大学世界心理健康调查倡议框架内,我们与布宜诺斯艾利斯大学医学院及阿根廷精神科医生协会(APSA)合作,在卫生部资助下开展了阿根廷普通人群心理健康的首次“流行病学研究”。方法:采用综合国际诊断访谈(CIDI)进行多阶段概率性家庭调查。调查对象为3927名18岁及以上(无年龄上限)、在该国八个最大城市地区之一(布宜诺斯艾利斯、科尔多瓦、科连特斯-雷西斯滕西亚、门多萨、内乌肯、罗萨里奥、萨尔塔和图库曼)有固定住所的人,约占该国成年人口的50.1%。应答率为77%。结果:阿根廷18岁以上普通人群中任何精神障碍的终生患病率为29.1%,到75岁的预计终生风险为37.1%。终生患病率最高的障碍是重度抑郁症(8.7%)、酒精滥用障碍(8.1%)和特定恐惧症(6.8%)。焦虑症是最常见的类别(16.4%),其次是情绪障碍(12.3%)、物质使用障碍(10.4%)和冲动控制障碍(2.5%)。过去12个月中任何精神障碍的患病率为14.8%,其中四分之一被归类为重度。11.6%的人在过去12个月接受了治疗,而患有重度障碍的人中只有30.2%接受了治疗。这些结果为卫生规划、实施以及心理健康工作人员的培训提供了重要数据。