中国成人心境障碍功能残疾的现况调查

A cross-sectional study of functional disability prevalence of mood disorders and risk factors in Chinese adults

目的:描述中国社区成人心境障碍功能残疾现况并探讨残疾发生的危险因素,为精神残疾康复政策的制定提供科学依据。方法:本研究为中国精神卫生调查数据的深入分析,计算包含身心共病和单一心境障碍的12月加权功能残疾率和致残率、对正常工作和生活的损失天数的影响;运用方差分析比较各组世界卫生组织残疾评定量表-2.0得分的差异,运用复杂抽样数据多重线性回归分析心境障碍共病其他精神障碍和躯体疾病及人口学因素对功能残疾程度的影响。结果:心境障碍12月患病人数为1136例,其中功能残疾人数为537例,包含身心共病的心境障碍功能残疾率为1.7%、致残率为42.0%,第四级残疾构成比最高(77.1%)。单一心境障碍功能残疾率为0.2%、致残率为16.0%。各类心境障碍所致部分影响正常生活和工作的中位天数在0~4.75 d之间。多重线性回归显示,心境障碍共病其他精神障碍和躯体疾病及除居住地以外的人口学因素均与WHODAS 2.0得分呈正关联。结论:心境障碍共病躯体疾病增加功能残疾发生的易患性和严重程度。受教育程度和收入水平低、高龄、非在婚、男性群体是心境障碍功能残疾的高危人群,需要重点关注。

Objective:To describe functional disability prevalence of mood disorders in Chinese adults and ex-plore related risk factors of disability occurrence in order to provide scientific evidence of policy making on disabili-ty rehabilitation.Methods:The current study was in-depth data analysis of China Mental Health Survey.Weighted 12-month functional disability prevalence of mood disorder with comorbidities and single mood disorder in popula-tion and those in patients,and days of partial disability were calculated.Difference of World Health Organization Disability Assessment Schedule 2.0 scores among groups was tested by ANOVA.The effects of mental disorders comorbid physical diseases and demographic factors on the occurrence and severity of disability were analyzed by muliple linear regression for complex sampling data.Results:Totally 1136 patients with mood disorders in the past 12 months were diagnosed,and 537 of them suffered from functional disability.The functional dis ability prevalence of mood disorder with comorbidities in population was 1.7%,and disability prevalence of mood disorders in pa-tients was 42.0%,in which constituent rate of grade-four disability was highest as 77.1%.The functional disability prevalence of single mood disorder in population was 0.2%,and disability prevalepce of single mood disorder in patients was 16.0%.The median days of partial disability days were from 0 to 4.75.Multiple linear regression showed a positive association between mental disorders comorbid physical diseases,demographic factors and WHO-DAS 2.0 scores except living area.Conclusions:Comorbidity of mood disorders and physical diseases increases the likelihood and severity of functional disability.Those with older age,lower economic and education level,non mar-ried and males are at high risk of mood disorder disability and need to be paid attention to.