Arillo Crespo A, Aguinaga Ontoso I, Guillén Grima F
Centro de Salud de la Txantrea, Servicio Navarro de Salud-Osasunbidea, Pamplona.
Aten Primaria. 1998 Mar 31;21(5):265-9.
The main aim was to calculate the prevalence of mental pathology in women between 18 and 70 in a Health District of Pamplona; second, to describe comorbidity and to analyse how mental pathology was recorded in the clinical histories.
An observational crossover study with randomised selection.
A community study in the Txantrea quarter of Pamplona, covering 21,590 inhabitants, with 7605 women between 18 and 70.
Randomised sample, stratified by age, of 237 women between 18 and 70 taken from the 1991 Census.
In a face-to-face interview at the Health Centre, the DIS Questionnaire, which diagnoses mental illness, was administered to all participants. A check was made to see if mental pathology was recorded in their clinical history. The prevalence of mental illnesses, mainly Phobias and Depression, in the "last year of life" was 33.3% (27.5-39.5), which fell to 24.9% (19.7-30.7) when tobacco abuse was excluded. The most common pathologies were: Depression (17.3%), Tobacco dependency (17.3%), simple Phobia (14.8%), Agoraphobia (13.5%), social Phobia (8.9%) and post-traumatic stress (8.0%).
Understanding the high psychological morbidity in these urban women can contribute to the development of Mental Health Promotion and Prevention Programmes and foment fuller mental health training for Primary Care professionals.
主要目的是计算潘普洛纳一个健康区18至70岁女性精神病理学的患病率;其次,描述共病情况,并分析精神病理学在临床病历中的记录方式。
一项随机选择的观察性交叉研究。
在潘普洛纳Txantrea区进行的一项社区研究,覆盖21590名居民,其中18至70岁的女性有7605名。
从1991年人口普查中随机抽取的237名18至70岁女性样本,按年龄分层。
在健康中心进行面对面访谈时,对所有参与者进行了用于诊断精神疾病的DIS问卷。检查她们的临床病历中是否记录了精神病理学情况。在“过去一年”中,精神疾病的患病率,主要是恐惧症和抑郁症,为33.3%(27.5 - 39.5),排除烟草滥用因素后降至24.9%(19.7 - 30.7)。最常见的病症有:抑郁症(17.3%)、烟草依赖(17.3%)、单纯恐惧症(14.8%)、广场恐惧症(13.5%)、社交恐惧症(8.9%)和创伤后应激障碍(8.0%)。
了解这些城市女性的高心理发病率有助于制定心理健康促进和预防计划,并推动为初级保健专业人员开展更全面的心理健康培训。