西安市综合医院门诊患者神经症性障碍患病率调查

Cross-sectional Study of Neuroses among Outpatients in General Hospitals of Xi'an

目的了解西安市综合医院门诊患者神经症性障碍患病率及其危险因素。方法采用分层抽样方法,选取西安市一级、二级、三级综合医院各1家的门诊科室≥16岁患者,应用复合性国际诊断交谈表(Composite International Diagnosis Interview-3.0,CIDI-3.0)对其进行神经症筛查,采用Logistic回归分析法分析神经症相关影响因素。结果372例患者中,共检出神经症患者40例,检出率为10.8%,其中特殊恐怖症(5.6%)和强迫症(3.8%)较多见。多因素非条件Logistic回归分析显示年龄小于40岁、受教育年限≤6年、女性是神经症发生的危险因素(P<0.05)。结论综合医院门诊患者中合并神经症性障碍多见,性别、年龄、受教育程度与神经症性障碍的发生有关联。

Objective To investigate the prevalence of neuroses among outpatients in general hospitals of Xi＇an and to explore its risk factors. Methods A hospital-based cross-sectional study was conducted in three general hospitals in Xi＇an by Composite International Diagnostic Interview Version 3.0 （CIDI-3.0）. Totally 372 outpatients aged 16 years and over were selected by stratified sampling and analyzed to describe the distribution of neuroses and its related risk factors. Results There were 40 patients （10.8%） diagnosed as neuroses. Specific phobia （5.6%） and obsessive-compulsive disorder （3.8%） were two common demonstration of neuroses among outpatients in general hospitals. Multivariate no-condition Logistic regress analysis showed that patients younger than 40 years, those with six,year education or even less and females were groups with high concurrence of neuroses （P〈0.05）. Conclusion It is very common for neuroses outpatients to visit general hospital. Age, gender and education background are associated with occurrence of neuroses.