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中国普通人群焦虑障碍患病率的荟萃分析
  • ISSN号:1006-7884
  • 期刊名称:中华精神科杂志
  • 时间:2013
  • 页码:204-211
  • 分类:R749.72[医药卫生—神经病学与精神病学;医药卫生—临床医学]
  • 作者机构:[1]上海交通大学医学院附属精神卫生中心,200030, [2]复旦大学附属华山医院精神科, [3]中国科学院心理研究所
  • 相关基金:国家自然科学基金(81071098);上海市卫生系统优秀学科带头人培养计划(XBR2011005)
  • 相关项目:焦虑症患者心跳知觉异常的脑功能机制研究
中文摘要:

目的评价中国普通人群1982-2012年焦虑障碍患病率及其在性别、年龄、城乡、婚姻状况、教育程度、调研年代、诊断标准等不同因素间的差别。方法检索EMBASE、PubMed和中国期刊全文数据库、万方数字化期刊全文数据库、中国科技期刊数据库(维普)、中国生物医学文献数据库等,并辅以文献追溯方法,收集1982-2012年在国内外公开发表的所有关于中国人群焦虑障碍患病率的研究文献,依照事先定义的纳入及排除标准进行筛选,并根据观察性研究的报告标准评价文献质量,采用R-2.15.0软件对资料间异质性检验、敏感性分析、合并患病率及发表偏倚评估进行Meta分析。结果共25项研究196020人纳入分析。焦虑障碍时点患病率为1.0%[95%可信区间(CI)0.7%-1.4%],12个月患病率为4.5%(95%CI2.7%-7.5%),终生患病率为3.2%(95%CI2.1%-4.7%)。以时点患病率计,广泛性焦虑障碍患病率为0.6%(95%CI0.4%~0.9%),惊恐障碍为0.2%(95%CI0.1%-0.4%);青壮年人群焦虑障碍患病率为1.3%(95%CI0.3%-4.7%),中年人群为3.0%(95%CI1.2%-7.4%),老年人群为7.1%(95%CI5.4%-9.2%);城市焦虑障碍患病率为2.8%(95%CI1.1%~7.5%),农村地区为2.9%(95%CI1.5%~5.6%);1982--1992年的研究焦虑障碍患病率合并为0.3%(95%CI0.1%~0.6%),1993-2000年为0.5%(95%CI0.2%-1.1%),2001年后为2.8%(95%CI2.1%~3.8%);应用国内诊断标准的焦虑障碍患病率为0.3%(95%CI0.1%-0.8%),国外/国际诊断标准为3.2%(95%CI2.3%-4.4%);观察性流行病学研究报告规范评分结果为(14.36±3.17)分。结论中国普通人群焦虑障碍总患病率较低,但研究报告总体水平有待进一步提高;中老年人?

英文摘要:

Objective To evaluate the prevalence of anxiety disorder among China mainland residents in studies published from 1982 to 2012 through meta-analysis. Methods According to pre-defined selection criteria and exclusion criteria, epidemiological studies published during 1982 to 2012, on anxiety disorders among mainland general population in China were identified through searching Chinese Biological Medical Literature Database, Chongqing VIP database for Chinese Technical Periodicals, Wanfang Database, Chinese National Knowledge Infrastructure, EMBASE and PubMed. Hand searches of cross references were also conducted for further references. The quality of included studies were evaluated by Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). R-2. 15.0 software was employed for statistical analysis. Results Twenty-five studies were included ( a total of 196 020 people). The overall point prevalence of anxiety disorder was 1.0% ( 95% CI 0. 7% - 1.4% ), twelve-month prevalence was 4. 5% (95% CI 2. 7% - 7.5% ), and lifetime prevalence was 3.2% (95% CI 2. 1% - 4. 7% ). The point prevalence of generalized anxiety disorder and panic disorder were 0. 6% ( 95% CI 0. 4% - 0. 9% ) and 0. 2% (95% CI 0. 1% - 0. 4% ) respectively. The pooled prevalence rates were 1.3% (95% CI 0. 3% -4. 7% ) for the young and 3.0% (95% CI 1.2% -7.4% ) for the middle-aged and 7.1% (95% CI 5.4% - 9. 2% ) for older adults. The rates for urban and rural were 2. 8% (95% CI 1.1% -7.5% ) and 2.9% (95 % CI 1.5 % -5.6% ). The prevalence during 1982 to 1992 survey was 0. 3 % (95 % CI 0. 1% -0. 6% ), during 1993 to 2000 was 0.5%(95%CI0.2% -1.1%) and after 2001 was 2. 8% (95%C12.1% - 3.8% ). The prevalence according to different diagnostic criteria were 0. 3% (95% CI 0. 1% -0. 8% ) for CCMD and 3.2% (95% C1 2. 3% - 4.4% ) for ICD or DSM. Included studies were assessed by STROBE criteria, the average score was 14. 36 (SD = 3.17 ). Conclusions Compared with other coun

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期刊信息
  • 《中华精神科杂志》
  • 中国科技核心期刊
  • 主管单位:中国科协
  • 主办单位:中华医学会
  • 主编:
  • 地址:北京市东四西大街42号
  • 邮编:100710
  • 邮箱:cjps@cma.org.cn
  • 电话:010-85158210
  • 国际标准刊号:ISSN:1006-7884
  • 国内统一刊号:ISSN:11-3661/R
  • 邮发代号:2-69
  • 获奖情况:
  • 1997年获得中国科协全国优秀科技期刊奖二等奖,2000年获中华医学会优秀期刊银奖
  • 国内外数据库收录:
  • 美国化学文摘(网络版),荷兰文摘与引文数据库,日本日本科学技术振兴机构数据库,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版),中国北大核心期刊(2000版)
  • 被引量:15635