辽宁省城乡居民社交恐怖症流行病学调查

Prevalence of social phobia among urban and rural residents of Liaoning province

目的了解辽宁省城乡居民社交恐怖症患病率、分布特点和治疗现状。方法采用多阶段分层整群随机抽样方法,以复合性国际诊断交谈检查量表1.0版(CIDI 1.0)对辽宁省6个市县13 358名18～65岁城乡居民进行面访调查;使用WHO-CIDI 1.0软件进行分析,按精神障碍诊断和分类(DSMⅢ-R)标准分别判定终生、12月和2周患病诊断。结果社交恐怖症的终生、12月和2周调整患病率分别为1.29%,0.81%和0.46%。女性终生患病率高于男性(OR=1.43,95%CI=1.05～1.95);患病率随年龄升高明显升高(P<0.01);随学历升高明显降低(P<0.01);仅10.6%的患者曾服药治疗。结论社交恐怖症是一种普遍存在的心理疾病,需采取综合措施提高社交恐怖症的认识和诊疗水平。

Objective To understand the prevalence and treatment of social phobia among urban and rural adults in Liaoning province.Methods Totally 13 358 residents aged 18-65 years were randomly selected from 3 cities and 3 counties with stratified multi-stage cluster sampling.The subjects were assessed with a face-to-face interview and Composite International Diagnostic Interview-1.0（CIDI-1.0）.The DSMⅢ-R diagnosis of social phobia was made with CIDI 1.0 software.Results The adjusted lifetime,12-months,and 2 weeks prevalence of social phobia were 1.29%,0.81%,and 0.46%,respectively.The lifetime prevalence was significantly higher in the females（odds ratio=1.43,95% confidence interval=1.05-1.95）than in the males,and decreased with the increment of education and income level.Of all patients 89.4% did not receive any treatment for social phobia.Conclusion Social phobia is a common mental disorder among adult residents in Liaoning province.Comprehensive measures are needed to improve the levels of knowledge,diagnosis and treatment of the disorder.