保定市创伤后应激障碍流行病学调查

Epidemiological survey of post-traumatic stress disorder in Baoding city

目的:了解保定市18岁及以上人群创伤后应激障碍患病率。方法:采用多阶段分层整群抽样方法随机抽取10073名≥18岁的人群为调查对象,用扩展的一般健康问卷(GHQ-12)将调查对象分为高、中、低危险组,以美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)对调查对象进行DSM-Ⅳ修订版轴Ⅰ障碍定式临床用治疗提纲(SCID-I/P),对各类精神障碍进行诊断。结果:9021人完成调查。创伤后应激障碍时点患病率为3.7‰,终生患病率5.7‰。创伤后应激障碍时点患病者33例中6例(18.8%)患者与情感障碍共病。结论:创伤后应激障碍已成为严重影响社会、经济发展的因素之一,应列入防治和研究的重点疾病。

Objective：To investigate the prevalence of post-traumatic stress disorder （PTSD） in Baoding city. Method： Using the stratified random sampling method, 10 073 subjects（ 〉1 18 years） were sampled out. All the subjects were surveyed by the expanded version of the general health questiormaire （GHQ-12） . then they were divided into high, moderate and low risk groups. The clinical diagnosis of mental disorders was made according to the Diagnosis and Statistical Manual of Mental Disorder, forth Edition（ DSM-Ⅳ）. Results：9 021 subjects completed the screening. The current prevalence rate of PTSD was 3.7‰, and the overall lifetime prevalence rate was 5.7‰.33 patients were diagnosed as PTSD. Among them, 6 patients （ 18.8 % ） were combined with affective disorder. Conclusion： PTSD has become one of serious factors that affect the social and economic development. It should be listed as one of major mental disorders for prevention, treatment and research.