中国精神障碍流行病学研究概述

Epidemiological study of mental disorder in China

  • 摘要: 本文综述了我国精神卫生流行病学发展史的3个阶段,概述了精神障碍诊断和分类系统,介绍了复合性国际诊断交谈表、简明国际神经精神访谈表等精神障碍的诊断和筛查工具。关于中国精神障碍流行病学调查及其主要结果,介绍了1982年和1993年国内大样本精神疾病流行病学调查,以及随后的浙江省、昆明市、河北省、山东省、青海省、天水市等省市的调查,重点介绍了由卫生部和科技部共同支持的“中国精神障碍疾病负担和卫生服务利用的研究”,即中国精神卫生调查(CMHS),并分析了我国在过去30年内精神障碍的患病率升高趋势及其原因。最后展望精神障碍的防制,要充分利用以人群为基础的研究证据,研究制定符合中国国情的政策和措施。

     

    Abstract: This review introduces the three stages of the development history of mental health epidemiology in China, outlines the diagnosis and classification system of mental disorders, and introduces diagnostic and screening tools for mental disorders such as the Composite International Diagnostic Interview (CIDI) and the Mini International Neuropsychiatric Interview (MINI). Regarding the epidemiological surveys of mental disorders in China and its main results, this review introduces the large-scale epidemiological investigations of mental disorders in China in 1982 and 1993, as well as subsequent investigations in Zhejiang Province, Kunming City, Hebei Province, Shandong Province, Qinghai Province, Tianshui City, etc. It focuses on the "Research on the Burden of Mental Disorders and Health Service Utilization in China" jointly supported by the Ministry of Health and the Ministry of Science and Technology, namely the China mental health survey (CMHS), and analyzes the increasing trend and reasons for the prevalence of most mental disorders in China in the past 30 years. Finally, in the prevention and control of mental disorders, it is necessary to fully utilize population-based research evidence and develop policies and measures that are in line with China's national conditions.

     

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