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城市女性人群中的生活事件与精神障碍

Life events and mental disorder in an urban female population.

作者信息

Samuelsson S

出版信息

Acta Psychiatr Scand Suppl. 1982;299:1-76. doi: 10.1111/j.1600-0447.1982.tb00296.x.

Abstract

A comprehensive population study of women in Gothenburg, Sweden was carried out in 1968-1969. Altogether 800 women participated in the psychiatric study. Four age strata were studied i.e. women born in 1930, 1922, 1918 and 1914. The same women were re-studied in 1974-1975 (participation rate 84.6%) establishing (1) prevalence of mental disorder, (2) six-year incidence of mental disorder, (3) one-year incidence of mental disorder, (4) occurrence of undesirable life events and (5) connections between life events and one-year incidence of mental disorder. The average prevalence rate was 13.4% for mental disorder with functional impairment, exceeded in lower social groups, by the divorced and the recently widowed. Depressive disorders were most common and autonomic disturbances were the most frequent symptoms. The six-year incidence of mental disorder with functional impairment was 19.5% with raised rate for the divorced and the childless. Undesirable life events increased with the number of children, and decreased with age. The one-year incidence rate decreased with increasing age. The one-year incidence of mental disorder was increased with the amount of undesirable life events.

摘要

1968 - 1969年,在瑞典哥德堡对女性进行了一项全面的人群研究。共有800名女性参与了这项精神病学研究。研究了四个年龄层,即出生于1930年、1922年、1918年和1914年的女性。1974 - 1975年对同一批女性进行了再次研究(参与率84.6%),确定了(1)精神障碍的患病率,(2)精神障碍的六年发病率,(3)精神障碍的一年发病率,(4)不良生活事件的发生情况,以及(5)生活事件与精神障碍一年发病率之间的联系。伴有功能损害的精神障碍平均患病率为13.4%,在较低社会群体、离婚者和最近丧偶者中患病率更高。抑郁障碍最为常见,自主神经紊乱是最常见的症状。伴有功能损害的精神障碍六年发病率为19.5%,离婚者和无子女者的发病率有所上升。不良生活事件随子女数量增加而增多,随年龄增长而减少。一年发病率随年龄增长而降低。精神障碍的一年发病率随不良生活事件数量的增加而上升。

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