Hagnell O, Ojesjö L, Otterbeck L, Rorsman B
Department of Psychiatry, Lund University, Sweden.
Scand J Soc Med Suppl. 1994;50:1-77.
The Lundby Study is a prospective, psychiatric-epidemiological study of a normal population that has been repeatedly examined over a period of 25 years. Experienced psychiatrists made home visits and collected the basic information through personal examinations adding supplementary data from other relevant sources. The present book contains point prevalence data of mental disorders such as neuroses, psychoses, organic brain syndromes, psychosomatic disorders, psychopathy, mental retardation, alcoholism, mental complaints, and also of various personality traits in a normal population at two points of time, 15 years apart. Together with earlier published incidence studies the present monograph is intended to give as complete a picture as possible of the mental morbidity in a total population. Our most conspicuous finding was the increase over time of the prevalence of neurotic illnesses. Depressive illnesses represented the largest increase. In the male sex the rate of Neurosis trebled from Time 1 to Time 2, although the female preponderance still remained. Psychopathy and Alcoholism, on the other hand, were very markedly male disorders. A description of how the investigations were performed is included and also a list of publications originating from the Lundby Study. This book will be of interest to physicians and psychiatrists interested in epidemiology and also to governmental planners and social scientists.
伦德比研究是一项针对正常人群的前瞻性精神疾病流行病学研究,在25年的时间里对该人群进行了多次检查。经验丰富的精神科医生进行家访,并通过个人检查收集基本信息,同时补充来自其他相关来源的数据。本书包含了神经症、精神病、器质性脑综合征、身心疾病、精神变态、智力迟钝、酗酒、精神主诉等精神障碍的时点患病率数据,以及相隔15年的两个时间点上正常人群的各种人格特质数据。与早期发表的发病率研究一起,本专著旨在尽可能全面地呈现整个人口中的精神疾病发病率情况。我们最显著的发现是神经症性疾病的患病率随时间增加。抑郁性疾病的增加最为明显。在男性中,神经症的发病率从时间1到时间2增长了两倍,尽管女性占比仍然较高。另一方面,精神变态和酗酒则是明显的男性疾病。书中还包括了对调查过程的描述以及源自伦德比研究的出版物列表。这本书将吸引对流行病学感兴趣的医生和精神科医生,以及政府规划者和社会科学家。