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本文引用的文献

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Mapping modifiable determinants of medication adherence in bipolar disorder (BD) to the theoretical domains framework (TDF): a systematic review.绘制双相情感障碍 (BD) 中可改变的药物依从性决定因素与理论领域框架 (TDF) 的关系:系统评价。
Psychol Med. 2021 May;51(7):1082-1098. doi: 10.1017/S0033291721001446. Epub 2021 May 19.
2
Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: a systematic review and meta-analysis.精神障碍患者精神药物治疗不依从及其相关因素的系统评价和荟萃分析。
Syst Rev. 2020 Jan 16;9(1):17. doi: 10.1186/s13643-020-1274-3.
3
HIV Infection in Attendees of Psychiatric Clinics in Harare, Zimbabwe; Prevalence, Associated Factors and HIV Care Uptake.津巴布韦哈拉雷精神病诊所就诊者中的 HIV 感染情况;流行率、相关因素和 HIV 护理的接受情况。
AIDS Behav. 2019 Dec;23(12):3471-3481. doi: 10.1007/s10461-019-02633-2.
4
Global, regional, and national burden of neurological disorders, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.全球、区域和国家神经障碍负担,1990-2016 年:2016 年全球疾病负担研究的系统分析。
Lancet Neurol. 2019 May;18(5):459-480. doi: 10.1016/S1474-4422(18)30499-X. Epub 2019 Mar 14.
5
Comorbidity of bipolar and anxiety disorders: An overview of trends in research.双相情感障碍与焦虑症的共病:研究趋势概述
World J Psychiatry. 2019 Jan 4;9(1):7-29. doi: 10.5498/wjp.v9.i1.7.
6
Mental health in Zimbabwe: a health systems analysis.津巴布韦的心理健康:卫生系统分析
Lancet Psychiatry. 2017 Nov;4(11):876-886. doi: 10.1016/S2215-0366(17)30128-1. Epub 2017 Jun 15.
7
Poor quality of life and functioning in bipolar disorder.双相情感障碍患者的生活质量和功能较差。
Int J Bipolar Disord. 2017 Dec;5(1):10. doi: 10.1186/s40345-017-0078-4. Epub 2017 Mar 27.
8
Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015.1990 - 2015年79种行为、环境与职业及代谢风险或风险群组的全球、区域和国家比较风险评估:全球疾病负担研究2015的系统分析
Lancet. 2016 Oct 8;388(10053):1659-1724. doi: 10.1016/S0140-6736(16)31679-8.
9
Comorbidity of bipolar and substance use disorders in national surveys of general populations, 1990-2015: Systematic review and meta-analysis.1990 - 2015年普通人群全国性调查中双相情感障碍与物质使用障碍的共病情况:系统评价与荟萃分析
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10
A Lifetime Prevalence of Comorbidity Between Bipolar Affective Disorder and Anxiety Disorders: A Meta-analysis of 52 Interview-based Studies of Psychiatric Population.双相情感障碍与焦虑症共病的终生患病率:对52项基于访谈的精神科人群研究的荟萃分析
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津巴布韦三家三级精神病医院住院患者双相情感障碍诊断的患病率及相关特征:一项横断面研究。

The prevalence and associated characteristics of Bipolar Disorder diagnosis among admitted patients at three tertiary psychiatric hospitals in Zimbabwe: A cross sectional study.

机构信息

Mental Health Unit, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.

出版信息

PLoS One. 2024 Jan 2;19(1):e0290560. doi: 10.1371/journal.pone.0290560. eCollection 2024.

DOI:10.1371/journal.pone.0290560
PMID:38166016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10760812/
Abstract

BACKGROUND

Bipolar Affective Disorder (BD) is a serious condition that affects more than 1% of the world's population. If not treated can cause disability, yet its prevalence in Zimbabwe is not known. This study explores the burden of Bipolar Disorder and its associated factors in Zimbabwe.

METHODS

A cross sectional study with a sample of 272 participants was carried out at three tertiary hospitals in Zimbabwe. Data was collected using an interviewer administered questionnaire and the Mini International Neuropsychiatric Interview (M.I.N.I). The study shows the prevalence and factors associated with Bipolar Disorder at tertiary psychiatric hospitals. Data analysis was done using STATA S/E 13.0 for data management.

RESULTS

The prevalence of BD in the sample was 39.3%. Factors associated with BD were, being formally employed (AOR = 3.69, 95%CI: 1.55-8.79), a history of defaulting medications (AOR = 1.90, 95%CI: 1.02-3.57) and a reported previous diagnosis of BD (AOR = 5.66, 95%CI: 2.72-11.8).

CONCLUSIONS

The prevalence of BD among admitted participants in tertiary psychiatric hospitals in Zimbabwe is high. It is comparable to that from African studies done in clinical settings. There is need for in-service training for clinicians to be more vigilant in diagnosing BD.

摘要

背景

双相情感障碍(BD)是一种严重的疾病,影响着全球超过 1%的人口。如果得不到治疗,可能会导致残疾,但津巴布韦的患病率尚不清楚。本研究探讨了津巴布韦双相情感障碍的负担及其相关因素。

方法

采用横断面研究设计,在津巴布韦的三家三级医院抽取了 272 名参与者作为样本。使用访谈者管理的问卷和迷你国际神经精神访谈(MINI)收集数据。该研究显示了三级精神病医院中双相情感障碍的患病率及其相关因素。使用 STATA S/E 13.0 进行数据分析,用于数据管理。

结果

该样本中 BD 的患病率为 39.3%。与 BD 相关的因素有:正式就业(AOR=3.69,95%CI:1.55-8.79)、药物漏服史(AOR=1.90,95%CI:1.02-3.57)和报告的先前 BD 诊断(AOR=5.66,95%CI:2.72-11.8)。

结论

津巴布韦三级精神病医院住院患者中 BD 的患病率较高。这与在临床环境中进行的非洲研究结果相当。有必要对临床医生进行在职培训,使其更加警惕地诊断 BD。