摘要
目的 :了解阜阳市城乡人们对精神疾病的识别情况及患者的治疗状况。方法 :于 2 0 0 0年 11月～ 2 0 0 1年 3月在阜阳市区和 3县农村进行精神疾病流行病学调查 ,共调查≥ 15岁者 3 3 3 3 2人 ,以心理卫生筛选表进行筛查 ,阳性者作精神现状检查 ,以中国精神疾病分类方案与诊断标准第 2版修订本进行诊断。并了解精神分裂症、情感性精神障碍和精神发育迟滞三种精神疾病患者的治疗状况和家属对精神疾病的识别情况以及对治疗患者疾病的态度。结果 :三种精神疾病的患病率分别为 4 77‰、 1 17‰和 2 73‰。家属对患者疾病存在一定程度的未识别率 ,以农村为明显。总的未治疗率城市为 3 0 8% ,农村则高达 5 5 2 %。以精神发育迟滞及农村情感性精神障碍和精神分裂症的未治疗率最高 ,前两者几乎占到 2 / 3的比例。结论 :精神分裂症的患病率低于 1993年全国 7个地区的调查结果 ,精神发育迟滞与全国的调查基本一致 ,而情感性精神障碍患病率高于全国的调查 ,但仍明显低于西方等一些发达国家和地区。城乡均存在一定程度的未识别率和未治疗率 ,农村则更为显著 ,提示在本地区 ,尤其是在偏僻落后的农村 ,精神疾病的认识、治疗、康复等形势比较严峻。
Objective: To investigate situation of identification and treatment of mental disorder in Fuyang area Method: From November 2000 to March 2001, we did a epidemiological survey on mental disorders in urban area of Fuyang and three counties nearby 33332 residents aged 15 or more were involved The first step was screening with Mental Health Screening Scale, the second was a psychiatric interview to the positive in screening with PSE (present state examination) We focused on schizophrenia, affective disorder and mental retardation, as well as situation of identification and treatment of these disorders Result: The prevalences of the three disorders were 4 77‰, 1 17‰ and 2 73‰ respectively Some family members did not identify the patient as a person with mental illness, especially for those lived in rural area The rate of untreated mental illness was 30 8% in urban and 55 2% in rural area Among those having no treatment, two third were mental retarded, residents in rural area with affective disorder Conclusion: The prevalences of schizophrenia, affective disorder and mental retardation in Fuyang area are similar to the results of national epidemiological survey 1993 The prevalence of affective disorder is much lower than the results of western countries In both rural and urban area, there are quite a number of patients who are not identified and have no treatment, especially for those lived in rural area
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2003年第3期197-199,共3页
Chinese Mental Health Journal
