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抑郁症的流行病学。发病率性别差异的最新情况。

The epidemiology of depression. An update on sex differences in rates.

作者信息

Weissman M M, Leaf P J, Holzer C E, Myers J K, Tischler G L

出版信息

J Affect Disord. 1984 Dec;7(3-4):179-88. doi: 10.1016/0165-0327(84)90039-9.

DOI:10.1016/0165-0327(84)90039-9
PMID:6241202
Abstract

Data from the New Haven, CT, Standard Metropolitan Statistical Area, site of the NIMH Epidemiologic Catchment Area (ECA) study, a multi-site collaborative community survey of psychiatric disorders is presented. The 6-month prevalence rates based on the Diagnostic Interview Schedule (DIS) interview and the DSM-III found that major depression was more frequent in women than men (2.4:1). The sex ratios for bipolar disorder were about equal. The sex ratios for major depression were fairly consistent at different time periods retrospectively assessed. There appeared to be a birth cohort effect with cohort's born after 1936 having an earlier age of onset and higher rates of major depression but not a change in sex ratios. These findings must be considered in light of the methodologic limitations of retrospective recall.

摘要

来自康涅狄格州纽黑文标准大都市统计区的数据被呈现出来,该地区是美国国立精神卫生研究所流行病学集水区(ECA)研究的地点,这是一项关于精神疾病的多地点协作社区调查。基于诊断访谈表(DIS)访谈和《精神疾病诊断与统计手册》第三版(DSM-III)得出的6个月患病率发现,重度抑郁症在女性中比男性更常见(比例为2.4:1)。双相情感障碍的性别比例大致相等。回顾性评估不同时间段的重度抑郁症性别比例相当一致。似乎存在出生队列效应,1936年以后出生的队列发病年龄更早,重度抑郁症发病率更高,但性别比例没有变化。鉴于回顾性回忆的方法学局限性,必须考虑这些发现。

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