Bijl R V, van Zessen G, Ravelli A, de Rijk C, Langendoen Y
Netherlands Institute of Mental Health and Addiction, Trimbos-Instituut, Utrecht, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 1998 Dec;33(12):581-6. doi: 10.1007/s001270050097.
The article describes the objectives and design of a prospective study of the prevalence, incidence and course of psychiatric disorders in a representative sample of non-institutionalized Dutch adults. A total of 7146 men and women aged 18-64, contacted through a multistage sample of municipalities and households, were interviewed at home in 1996. The primary diagnostic instrument was the CIDI, which determines the lifetime occurrence of DSM-III-R disorders. The disorders included were: mood disorders, anxiety disorders, eating disorders, schizophrenia and other non-affective psychotic disorders, and dependence and abuse of psychoactive substances. Follow-up measurements in the same sample were scheduled at 12 and 36 months. The net response to the first measurement was 69.7%. Poststratification weightings were applied for gender, age, marital status and degree of urbanization. Limitations and advantages of the study design are discussed. Findings are reported elsewhere in this issue.
本文描述了一项前瞻性研究的目标和设计，该研究针对荷兰非机构化成年人群体的一个代表性样本，调查精神障碍的患病率、发病率及病程。通过对市政当局和家庭进行多阶段抽样，联系了7146名年龄在18至64岁之间的男性和女性，并于1996年在他们家中进行了访谈。主要诊断工具是复合性国际诊断交谈检查表（CIDI），它用于确定《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）中各种障碍的终生患病情况。所涵盖的障碍包括：心境障碍、焦虑障碍、进食障碍、精神分裂症及其他非情感性精神病性障碍，以及精神活性物质依赖和滥用。对同一样本的随访测量计划在12个月和36个月时进行。首次测量的净应答率为69.7%。针对性别、年龄、婚姻状况和城市化程度应用了事后分层加权法。文中讨论了该研究设计的局限性和优点。研究结果在本期其他地方报告。
