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| 大一新生重性抑郁障碍与惊恐障碍流行病学调查* |
| An epidemiological survey of major depressive disorder and panic disorder among freshmen* |
| 投稿时间：2022-09-15 修订日期：2022-10-18 |
| DOI： |
| 中文关键词: 重性抑郁障碍；惊恐障碍；共病；患病率 |
| 英文关键词: Major depressive disorder; Panic disorder; Comorbidity; Prevalence |
| 基金项目:山东省泰山学者青年专家人才计划项目 |
| 作者 | 单位 | 邮编 | | 许瑞雪 | 滨州医学院公共卫生与管理学院 | 264003 | | 慕福芹 | 济宁医学院精神卫生学院 | | | 段熙明 | 济宁医学院精神卫生学院 | | | 孙浩 | 济宁医学院临床医学院 | | | 李涵云 | 山东大学齐鲁医学院 | | | 秦岩 | 山东第一医科大学公共卫生与健康管理学院 | | | 胡书章 | 山东第一医科大学公共卫生与健康管理学院 | | | 刘佳 | 济宁医学院精神卫生学院 | | | 王怡阳 | 济宁医学院精神卫生学院 | | | 刘燕* | 济宁医学院精神卫生学院；济宁医学院循证医学中心 | 272013 |
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| 中文摘要: |
| 目的分析大一新生重性抑郁障碍、惊恐障碍及其共病患病率。方法于2018年4-10月在济宁、日照及潍坊市针对大一新生开展精神障碍流行病学横断面调查。研究采用自制人口学特征问卷、中文版患者健康问卷-9、贝克焦虑量表、青少年生活事件量表、严重创伤事件问卷及复合性国际诊断交谈量表-3.0等。结果共计8079人完成了调查。大一新生重性抑郁障碍的终生患病率为5.52%（95% CI: 5.04, 6.05），惊恐障碍的终生患病率为0.87%（95% CI: 0.68, 1.10），重性抑郁障碍与惊恐障碍共病的终生患病率为0.34%（95% CI: 0.23, 0.50）。惊恐障碍患者共病重性抑郁障碍的比例高达38.24%。城镇、非独生子女、抑郁症状是大一新生重性抑郁障碍与惊恐障碍的危险因素。结论大一新生重性抑郁障碍、惊恐障碍及共病患病率较高，各级部门应关注大一新生心理健康状况并采取相应预防及干预措施。 |
| 英文摘要: |
| Objective To investigate the prevalence of major depressive disorder (MDD), panic disorder (PD) and their comorbidities among freshmen. Methods An epidemiological cross-sectional survey on mental disorders was conducted among freshmen in Jining, Rizhao and Weifang from April to October 2018. The study was carried out with the self-made demographic characteristics questionnaire, Chinese version of Patient Health Questionnaire-9 (PHQ-9), Beck Anxiety Inventory (BAI), Adolescent Self-rating Life Events Check list (ASLEC) and Lifetime severe traumatic events questionnaire, Composite International Diagnostic Interview version 3.0 (CIDI-3.0), etc. Results 8079 people completed the survey. The lifetime prevalence of MDD was 5.52% (95% CI: 5.04, 6.05); the lifetime prevalence of PD was 0.87% (95% CI: 0.68, 1.10); the lifetime prevalence of comorbidity of MDD and PD was 0.34% (95% CI: 0.23, 0.50). The proportion of comorbidity of MDD in patients with panic disorder was as high as 38.24%. Urban residence, non-only child, depressive symptoms were the risk factors for comorbidity of MDD and PD in the participants. Conclusions The prevalence of MDD, PD and comorbidity in freshmen is high. Therefore, departments at all levels should pay attention to freshmen's mental health and adopt corresponding prevention and intervention strategies. |
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