Slade Tim, Vescovi Joshua, Chapman Cath, Teesson Maree, Arya Vikas, Pirkis Jane, Harris Meredith G, Burgess Philip M, Santomauro Damian, O'Dean Siobhan, Tapp Caley, Sunderland Matthew
The Matilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, NSW, Australia.
Centre for Mental Health, The University of Melbourne, Melbourne, VIC, Australia.
Aust N Z J Psychiatry. 2025 Jun;59(6):510-521. doi: 10.1177/00048674241275892. Epub 2024 Sep 8.
Mental and substance use disorders are the leading causes of disability worldwide. Contemporary estimates of prevalence, severity and impairment are essential for service planning. This study provides estimates of prevalence, severity, impairment and demographic correlates of mental and substance use disorders in 2020-22 and changes in prevalence since 2007.
Data were from the two Australian National Surveys of Mental Health and Wellbeing conducted in 2020-22 ( = 15,893) and 2007 ( = 8841). Descriptive statistics report prevalence of lifetime and 12-month mental and substance use disorder by sex and age, proportion of people with each mental disorder by levels of severity (mild, moderate and severe) and mean days out of role by mental disorder class (mood, anxiety, substance use). Logistic regression analyses examined demographic correlates of mental disorder class and assessed changes over time.
The lifetime prevalence of any mental or substance use disorder in 2020-22 was 40.2%. The 12-month prevalence was 20.2% (mood disorder - 7.4%, anxiety disorder - 15.7% and substance use disorder - 3.1%). Mood disorders were associated with significant impairment. The prevalence of mental disorders has changed over time, with mood and anxiety disorders increasing and substance use disorders decreasing. These changes were most evident among young adults.
Mental disorders are common in Australia. Impairment associated with mental disorders remains significant. Particular focus should be paid to young adults aged 16-25 years who have shown the largest increases in anxiety and mood disorder prevalence over the past 13 years.
精神和物质使用障碍是全球残疾的主要原因。对患病率、严重程度和损害的当代估计对于服务规划至关重要。本研究提供了2020 - 2022年精神和物质使用障碍的患病率、严重程度、损害及人口统计学相关性估计，以及自2007年以来患病率的变化情况。
数据来自2020 - 2022年（n = 15,893）和2007年（n = 8841）进行的两次澳大利亚全国心理健康与幸福调查。描述性统计报告了按性别和年龄划分的终生及12个月精神和物质使用障碍患病率、每种精神障碍按严重程度（轻度、中度和重度）划分的患者比例，以及按精神障碍类别（情绪、焦虑、物质使用）划分的平均失能天数。逻辑回归分析检验了精神障碍类别的人口统计学相关性，并评估了随时间的变化。
2020 - 2022年任何精神或物质使用障碍的终生患病率为40.2%。12个月患病率为20.2%（情绪障碍 - 7.4%，焦虑障碍 - 15.7%，物质使用障碍 - 3.1%）。情绪障碍与显著损害相关。精神障碍的患病率随时间发生了变化，情绪和焦虑障碍增加，物质使用障碍减少。这些变化在年轻人中最为明显。
精神障碍在澳大利亚很常见。与精神障碍相关的损害仍然很严重。应特别关注16 - 25岁的年轻人，他们在过去13年中焦虑和情绪障碍患病率上升幅度最大。
