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The epidemiology of depression in metropolitan China
Lee, S.1; Tsang, A.2; Huang, Y. -Q.3; He, Y. -L.4; Liu, Z. R.3; Zhang, M. -Y.4; Shen, Y. -C.3; Kessler, R. C.5
关键词Co-morbidity epidemiology major depression metropolitan China suicide treatment
刊名PSYCHOLOGICAL MEDICINE
2009-05-01
DOI10.1017/S0033291708004091
39期:5页:735-747
收录类别SCI ; SSCI
文章类型Article
WOS标题词Social Sciences ; Science & Technology
类目[WOS]Psychology, Clinical ; Psychiatry ; Psychology
研究领域[WOS]Psychology ; Psychiatry
关键词[WOS]NATIONAL COMORBIDITY SURVEY ; WORLD-HEALTH-ORGANIZATION ; REPLICATION NCS-R ; DSM-IV DISORDERS ; LIFETIME PREVALENCE ; 12-MONTH PREVALENCE ; MAJOR DEPRESSION ; MENTAL-DISORDERS ; UNMET NEED ; US
英文摘要

Background. Previous surveys on depression in China focused on prevalence estimates Without providing a detailed epidemiological profile.

Method. Face-to-face household interviews were conducted With a multi-stag(2 household probability sample of 2633 adults (age >= 18 years) in Beijing and 2568 in Shanghai between November 2001 and February 2002. The World Health Organization Composite International Diagnostic Interview (CIDI) was used to assess major depressive episode (MDE) according to Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria.

Results. The lifetime prevalence and 1-year prevalence estimates of DSM-IV/CIDI MDE were 3.6% [95% confidence interval (CI) 2.8-4.4%] and 1.8% (95% CI 1.2-2.4%,) respectively. No significant gender difference was found in these estimates. Respondents born in 1967 or later were at elevated lifetime risk compared with respondents born in earlier cohorts. The mean age of onset was 30.3 years. Among those reporting 1-year MDE, 15.7, 51.8, 25.3 and 6.4% reported mild, moderate, severe and very severe symptoms, respectively; 4.8, 2.6 and 3.2%, reported suicidal ideation, plans, and recent attempts in the same year respectively. Respondents with 1-year MDE reported a mean of 27.5 days Out of role owing to their depression it) the year before interview. Significant co-morbidity was found between MDE and other mental disorders [odds ratio (OR) 22.0] and chronic physical disorders (OR 3.2). Only 22.7%, of respondents with 1-year MDE Sought treatment.

Conclusions. The low prevalence and insignificant gender difference, but not patterns of onset, course, co-morbidity and impairment, distinguish the epidemiological profile of MDE in metropolitan China from those in other countries.

语种英语
WOS记录号WOS:000265569200005
项目编号R01MH070884 ; R13-MH066849 ; R01-MH069864 ; R01 DA016558 ; FIRCA R01-TW006481
资助机构United States National Institute of Mental Health ; John D. and Catherine T. MacArthur Foundation ; Pfizer Foundation ; US Public Health Service ; Fogarty International Center ; Pan American Health Organization ; Eli Lilly and Company ; Ortho-McNeil Pharmaceutical, Inc. ; GlaxoSmithKline ; Bristol-Myers Squibb ; Sanofi Aventis
引用统计
被引频次:78[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/59769
专题北京大学精神卫生研究所
作者单位1.Peking Univ, Inst Mental Hlth, Beijing, Peoples R China
2.Shanghai Mental Hlth Ctr, Shanghai, Peoples R China
3.Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
4.Chinese Univ Hong Kong, Hong Kong Mood Disorders Ctr, Hong Kong, Hong Kong, Peoples R China
5.Harvard Univ, Sch Med, Dept Hlth Care Policy, Cambridge, MA 02138 USA
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GB/T 7714
Lee, S.,Tsang, A.,Huang, Y. -Q.,et al. The epidemiology of depression in metropolitan China[J]. PSYCHOLOGICAL MEDICINE,2009,39(5):735-747.
APA Lee, S..,Tsang, A..,Huang, Y. -Q..,He, Y. -L..,Liu, Z. R..,...&Kessler, R. C..(2009).The epidemiology of depression in metropolitan China.PSYCHOLOGICAL MEDICINE,39(5),735-747.
MLA Lee, S.,et al."The epidemiology of depression in metropolitan China".PSYCHOLOGICAL MEDICINE 39.5(2009):735-747.
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