Lehtinen V, Veijola J, Lindholm T, Moring J, Puukka P, Väisänen E
National Research and Development Centre for Welfare and Health, Helsinki, Finland.
Br J Psychiatry. 1996 Jun;168(6):672-8. doi: 10.1192/bjp.168.6.672.
The aim was to give estimates of the incidence of different mental disorders from a Finnish prospective epidemiological follow-up study, the UKKI Study.
The original probability sample consisted of 1000 persons, aged 15-64 years. The baseline survey took place in 1969-71, and follow-up surveys were conducted 5 and 16 years after the baseline survey. The research methods included a personal psychiatric interview and data collection from different registers. The diagnostic system was based on the ICD-8 classification.
The estimated annual incidence of all mental disorders was close to 15 per 1000 both between baseline and the 5-year follow-up as well as between the 5-year and the 16-year follow-up. During the entire 16-year follow-up period the annual incidence of all disorders was 14 per 1000 in men and 17 per 1000 in women. The annual income of neurotic disorders was 10 per 1000 in men and 14 per 1000 in women, and that of psychotic disorders 2 per 1000.
In the literature, there are huge differences in the results concerning incidence of mental disorders. The results of the present study were rather close to those of the Swedish Lundby Study, but nowhere near the results of the American ECA Study.
目的是根据一项芬兰前瞻性流行病学随访研究(UKKI研究)给出不同精神障碍的发病率估计值。
最初的概率样本由1000名年龄在15 - 64岁的人组成。基线调查于1969 - 1971年进行,在基线调查后5年和16年进行了随访调查。研究方法包括个人精神科访谈以及从不同登记处收集数据。诊断系统基于国际疾病分类第8版(ICD - 8)分类。
从基线到5年随访以及从5年到16年随访期间,所有精神障碍的估计年发病率均接近每1000人中有15例。在整个16年随访期间,所有障碍的年发病率男性为每1000人中有14例,女性为每1000人中有17例。神经症性障碍的年发病率男性为每1000人中有10例,女性为每1000人中有14例,精神病性障碍的年发病率为每1000人中有2例。
在文献中,关于精神障碍发病率的结果存在巨大差异。本研究的结果与瑞典伦德比研究的结果相当接近,但远不及美国ECA研究的结果。