Bijl R V, Ravelli A, van Zessen G
Netherlands Institute of Mental Health and Addiction, Trimbos-Instituut, Utrecht, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 1998 Dec;33(12):587-95. doi: 10.1007/s001270050098.
This article reports the initial results of a prospective study on the prevalence of psychiatric disorders in the Dutch population aged 18-64. The objectives and the design of the study are described elsewhere in this issue. A total of 7076 people were interviewed in person in 1996. The presence of the following disorders was determined by means of the CIDI: mood disorders, anxiety disorders, eating disorders, schizophrenia and other non-affective psychoses, and substance use disorders. Psychiatric disorders were found to be quite common. Some 41.2% of the adult population under 65 had experienced at least one DSM-III-R disorder in their lifetime, among them 23.3% within the preceding year. No gender differences were found in overall morbidity. Depression, anxiety, and alcohol abuse and dependence were most prevalent, and there was a high degree of comorbidity between them. The prevalence rate encountered for schizophrenia was lower (0.4% lifetime) than generally presumed. A comparison with findings from other countries is made. Relevant determinants of psychiatric morbidity were analysed.
本文报告了一项关于荷兰18至64岁人群精神障碍患病率的前瞻性研究的初步结果。该研究的目的和设计在本期其他地方有描述。1996年共对7076人进行了面对面访谈。通过复合性国际诊断交谈检查表（CIDI）确定以下障碍的存在：情绪障碍、焦虑障碍、进食障碍、精神分裂症及其他非情感性精神病，以及物质使用障碍。发现精神障碍相当常见。65岁以下的成年人口中约41.2%在其一生中至少经历过一种《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）中的障碍，其中23.3%在过去一年中经历过。在总体发病率方面未发现性别差异。抑郁症、焦虑症以及酒精滥用和依赖最为普遍，且它们之间存在高度共病现象。精神分裂症的患病率（终生患病率为0.4%）低于一般推测。与其他国家的研究结果进行了比较。分析了精神疾病发病率的相关决定因素。
