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青少年精神病理学:I. 高中生中抑郁症及其他《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)所定义疾病的患病率与发病率

Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students.

作者信息

Lewinsohn P M, Hops H, Roberts R E, Seeley J R, Andrews J A

机构信息

Oregon Research Institute, Eugene 97403.

出版信息

J Abnorm Psychol. 1993 Feb;102(1):133-44. doi: 10.1037//0021-843x.102.1.133.

Abstract

Data were collected on the point and lifetime prevalences, 1-year incidence, and comorbidity of depression with other disorders (Diagnostic and Statistical Manual of Mental Disorders [3rd ed., rev.]) in a randomly selected sample (n = 1,710) of high school students at point of entry and at 1-year follow-up (n = 1,508). The Schedule for Affective Disorders and Schizophrenia for School-Age Children was used to collect diagnostic information; 9.6% met criteria for a current disorder, more than 33% had experienced a disorder over their lifetimes, and 31.7% of the latter had experienced a second disorder. High relapse rates were found for all disorders, especially for unipolar depression (18.4%) and substance use (15.0%). Female subjects had significantly higher rates at all age levels for unipolar depression, anxiety disorders, eating disorders, and adjustment disorders; male subjects had higher rates of disruptive behavior disorders.

摘要

在一个随机抽取的高中生样本(入学时n = 1710,1年随访时n = 1508)中,收集了抑郁症与其他疾病(《精神疾病诊断与统计手册》[第3版,修订版])的时点患病率、终生患病率、1年发病率及共病情况。采用学龄儿童情感障碍和精神分裂症检查表收集诊断信息;9.6%符合当前疾病标准,超过33%在其一生中经历过一种疾病,其中31.7%经历过第二种疾病。发现所有疾病的复发率都很高,尤其是单相抑郁症(18.4%)和物质使用障碍(15.0%)。在所有年龄组中,女性单相抑郁症、焦虑症、饮食失调和适应障碍的患病率显著更高;男性破坏性行为障碍的患病率更高。

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