Epidemiological Study of Mental Disorders in China

中國精神疾病流行病學報告

黃悅勤(Yue-Qin Huang)

精神障礙 ； 患病率 ； 國際複合性訪談量表 ； 制式臨床訪談診斷量表 ； mental disorders ； prevalence ； Composite International Diagnostic Interview (WMH-CIDI) ； Structured Clinical Interview for DSM (SCID)

台灣精神醫學

27卷2期（2013 / 06 / 01）

101 - 109+II

英文

中國精神疾病流行病學研究也有了很大進展。一直以，中國在臨床實務和科學研究均使用ICD-10和DSM-IV的診斷標準。早在1982年和1993年進行過兩次大樣本的精神障礙流行病學調查。1982年的12地區調查結果顯示全部精神疾病時點患病率和生患病分別為1.05%和1.27%。1993年7地區調查結果顯示時點患病率和終生患病分別為1.12%和1.35%。之後一些地方性的研究陸續有報導。在近10年的研究中，使用CIDI和SCID等不同方法進行精神疾病流行病學調查，獲得了不同的患病率。2002年世界精神衛生調查在北京城區居民2,633人和上海城區居民2,568人中採用CIDI進行了調查，結果是12個月精神疾病患病率為7.0%，不包括精神病性疾患和失智症。最新的報告是北京16歲以上居民3,387人的現况調查，情感疾患30天患病率、12個月患病率和終生患病率分別為0.87%、3.40%和6.55%。焦慮疾患的30天患病率、12個月患病率和終生患病率分別為3.08%、3.90%和6.37%。物質使用疾患的30天患病率、12個月患病率和終生患病率分別為0.37%、1.92%和5.58%。經過流行病學現況調查，精神疾病的疾病負擔之研究應該置於優先的地位。

In China, the epidemiological study on mental disorders is a great achievement. The criteria of ICD-10 and DSM-IV are applied in both clinical practice and research in China all the time. Using ICD-9 and DSM-III, the early large scale epidemiological studies on mental disorders were carried out in 1982 and 1993. In the 1982 survey, the overall point prevalence and the lifetime prevalence of all mental disorders from 12 study areas were 1.05% and 1.27%, respectively. In the 1993 survey, the point prevalence and lifetime prevalence of all mental disorders from seven areas were 1.12% and 1.35%, respectively. In recent 10 years, CIDI and SCID have been utilized in epidemiological studies in China and obtained different prevalences of mental disorders using different methodologies in different regions. In 2002, the World Mental Health Survey was conducted in urban Beijing and Shanghai using CIDI. The 12-month prevalence estimate of any disorder was 7.0% without psychotic disorders in the sample of 2,633 in Beijing and 2,568 in Shanghai. The latest survey was a cross-sectional study in 2,469 residents aged 16 and over in Beijing. The 30-day, 12-month, and lifetime prevalences of mood disorder were 0.87%, 3.40% and 6.55%. Those of anxiety disorders were 3.08%, 3.90%, and 6.37%. Those of substance abuse/dependence disorders were 0.37%, 1.92% and 5.58%. Furthermore, it should be put in priority to study disease burden of mental disorder after many cross-sectional regional and nationwide studies.

1. Cheng, Z.R.、Gao, H.、Zhang, X.(1999)。The epidemiological survey of mental disorders in Shenzhen。Medical Journal of Chinese Civil Administration，1999(11)，32-5。
2. Cooper, J.E.,Sartorius, N.(1996).Mental Disorders in China: Result of the National Epidemiological Survey in 12 Areas.London:Gaskell.
3. Kessler, R.C.(Ed.),Üstün, T.B.(Ed.)(2008).The WHO World Mental Health Surveys.New York:Cambridge University Press.
4. Kessler, R.C.,Ustun, T.B.(2004).The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI).Int J Methods Psychiatry Res,13,93-121.
5. Kleinman, A.(2004).Culture and depression.N Engl J Med,351,951-3.
6. Lee, S.(2002).The stigma of schizophrenia: a transcultural problem.Curr Opin Psychiatry,15,37-41.
7. Li, K.、Cui, Z.、Cui, L.(2007)。Epidemiological survey of mental disorders in people aged 18 or over in Hebei Province。Chinese Journal of Psychiatry，40，36-40。
8. Liu, Z.、Huang, Y.、Chen, X.、Cheng, H.、Luo, X.(2013)。The prevalence of mood disorder, anxiety disorder and substance use disorder in community residents in Beijing: a cross-sectional study。China Mental Health Journal，27，102-10。
9. Shen, Y.C.,Zhang, M.Y.,Huang, Y.Q.(2006).Twelve month prevalence, severity, and unmet need for treatment of mental disorders in metropolitan China.Psychol Med,36,257-68.
10. Shu, Q.C.、Zhang, J.M.、Xu, F.Z.(2005)。Epidemiological survey of mental illnesses in the people aged 15 and older in Zhejiang Province, China。Chinese Journal of Preventive Medicine，2005(4)，229-236。
11. Twelve Collaborating Units of Epidemiological Survey on Mental Disorders(1986)。The methodology and data analysis of epidemiological survey on mental disorders in 12 regions in China。Chinese Journal of Neurology and Psychiatry，19，66-7。
12. Twelve Collaborating Units of Epidemiological Survey on Mental Disorders(1986)。The prevalence of mental disorders, drug dependence and personality disorder。Chinese Journal of Neurology and Psychiatry，19，70-2。
13. Weng, Z.、Zhang, J.X.、Ma, D.D.(1998)。An epidemiological investigation of mental disorders in Shandong province in 1984 and 1994。Chinese Journal of Psychiatry，31，222-4。
14. Yang, J.、Ruan, Y.、Huang, Y.(2009)。A study on mental disorder prevalence and utilization of health resources in Kunming。Chinese Health Resources，2009(6)，277-80。
15. Zhang, W.X.、Shen, Y.C.、Li, S.R.(1998)。Epidemiological investigation on mental disorders in 7 areas of China。Chinese Journal of Psychiatry，31，69-71。
16. Zhang, Y.、Hu, J.、Hu, C.(2006)。Epidemiological survey on neurosis in Shenzhen City。Chinese Journal of Public Health，22，866-7。
17. Zhao, Z.、Huang, Y.、Li, Jie(2009)。An epidemiological survey of mental disorders in Guangzhou area。Chinese Journal of Nervous and Mental Disease，35，530-4。

1. Huang, Yueqin(2013).The CIDI Interview Tool Is Based on Criteria of Both the DSM-IV and the ICD-10.台灣精神醫學,27(4),334-335.