Bebbington P, Hurry J, Tennant C, Sturt E, Wing J K
Psychol Med. 1981 Aug;11(3):561-79. doi: 10.1017/s0033291700052879.
A two-stage psychiatric survey of a random samples of adults aged 18-64 from Camberwell is described. Agency interviewers carried out the first stage (N = 800), using the shorter form of the Present State Examination (PSE). MRC interviewers, using the full PSE, saw a stratified sample of these (N = 310) in the second stage. A second interview was sought with all those of Index of Definition (ID) level 5 and above at the first interview ("cases") and with random sample of those below that level 20.9% refused or were never available for the first interview. Of the 800 subjects successfully interviewed, 10% refused a further interview and 124% of those finally selected for this interview were either unavailable or changed their minds. The MRC data, weighted to represent the whole sample, are used in our analyses. The prevalence of psychiatric disorder as defined in our study was calculated at 6.1% for men and 14.9% for women. Women showed a higher prevalence of disorder in the age-groups 25-34 and 45-54, but in men there was no significant association with age. In contrast to the findings of Brown & Harris (1978), social class did not have a strong association with disorder. Single men had much higher rates than married men, while the reverse was true in women. In both sexes employment was associated with lower rates of disorder. An attempt to explain the high prevalence in women in terms of their role in marriage and child-care was only partly successful.
本文描述了对坎伯韦尔18 - 64岁成年人随机样本进行的两阶段精神病学调查。第一阶段由机构访员进行（N = 800），使用《现况检查》（PSE）的简短形式。第二阶段，医学研究委员会（MRC）的访员使用完整的PSE对这些样本中的分层样本（N = 310）进行访谈。在第一次访谈中，对所有定义指数（ID）为5级及以上的人（“病例”）以及低于该水平的随机样本进行了第二次访谈。20.9%的人拒绝或从未参加第一次访谈。在成功接受第一次访谈的800名受试者中，10%拒绝进一步访谈，最终被选中参加此次访谈的人中，有124%要么无法联系上，要么改变了主意。我们的分析使用了经过加权以代表整个样本的MRC数据。根据我们的研究定义，男性精神障碍患病率为6.1%，女性为14.9%。女性在25 - 34岁和45 - 54岁年龄组中精神障碍患病率较高，但男性患病率与年龄无显著关联。与布朗和哈里斯（1978年）的研究结果相反，社会阶层与精神障碍没有很强的关联。单身男性的患病率远高于已婚男性，而女性则相反。在两性中，就业与较低的精神障碍患病率相关。试图从女性在婚姻和育儿中的角色来解释女性患病率高的原因，仅取得了部分成功。
