Henderson S, Duncan-Jones P, Byrne D G, Scott R, Adcock S
Acta Psychiatr Scand. 1979 Oct;60(4):355-74. doi: 10.1111/j.1600-0447.1979.tb00285.x.
A standardised survey of prevalence has been carried out in a general population. The epidemiological method employed is innovative in its use of two established instruments, the GHQ and the PSE, harnessed together in a two-phase design. 756 persons were interviewed, giving a response rate of 85% in phase 1. 157 were then interviewed with the PSE in phase 2 within a few days, giving a response rate of 92% in this weighted subsample. The point prevalence of non-psychotic morbidity, based on the distribution of GHQ scores, is higher than elsewhere in Australia, the excess being in Canberra males. The PSE data weighted back to represent the total population, show a distribution of morbidity in women which is remarkably similar to that in the very different population of Camberwell. The overall point prevalence of threshold and definite cases is 9.0% +/- 3.2. Case rates did not vary significantly with age or sex, but were higher in the separated, the single and the widowed. This study represents an advance in the reliable and economical detection of psychiatric morbidity at specified levels of severity in general populations.
在普通人群中开展了一项标准化患病率调查。所采用的流行病学方法具有创新性，它将两种既定工具——一般健康问卷（GHQ）和症状自评量表（PSE）结合在一个两阶段设计中使用。共对756人进行了访谈，第一阶段的回应率为85%。随后在几天内对157人进行了第二阶段的PSE访谈，该加权子样本的回应率为92%。基于GHQ分数分布的非精神病性发病率的时点患病率高于澳大利亚其他地区，超出部分集中在堪培拉的男性群体。将PSE数据加权后以代表总人口，结果显示女性的发病率分布与坎伯韦尔截然不同的人群中的发病率分布非常相似。阈下病例和确诊病例的总体时点患病率为9.0%±3.2。患病率在年龄和性别上没有显著差异，但在分居、单身和丧偶人群中较高。这项研究代表了在普通人群中以特定严重程度可靠且经济地检测精神疾病发病率方面取得的一项进展。
