湖南省中小学生精神障碍患病率调查

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摘要目的：了解湖南省中小学生精神障碍的患病情况。方法：采用分层整群抽样方法及二阶段流行病学调查方法,应用儿童精神障碍筛查表及半定式访谈,以DSM-IV 为诊断标准调查湖南省9 495名5～17岁中小学生的精神健康状况。结果：精神障碍总时点患病率16.22%；注意力缺陷及破坏性行为障碍是最常见的类别（10.69%），注意缺陷多动障碍以5.95%的时点患病率在32种精神障碍中居首位；男生总患病率显著高于女生（20.49% vs 11.16%，P<0.01），尤其是注意力缺陷及破坏性行为障碍（14.76% vs 5.87%，P<0.01）；中学组（12~17岁）患病率高于小学组（5~11岁）（18.38% vs 14.64%，P<0.01）；城乡儿童患病率差异无显著性。结论：当前儿童精神障碍在湖南省中小学生中患病率不低；男生患病率高于女生，中学生高于小学生。［中国当代儿科杂志，2010，12（2）：123-127］

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	管冰清
	罗学荣
	邓云龙
	韦臻
	叶海森
	袁秀洪
	宁志军
	杨伟
	丁军

关键词 ：精神障碍, 流行病学调查, 患病率, 儿童

Abstract：OBJECTIVE: To investigate the prevalence of psychiatric disorders in a representative sample of primary and middle school students in Hunan Province. MethodsA total of 9 495 children aged 5-17 years from Hunan urban and rural schools were enrolled by a cluster sampling and a two-phase design. The students’ psychiatric status was assessed using the Investigation Screening Inventory for Child Mental Disorder and a semi-structured interview designed based on the DSM-IV criteria. RESULTS: The overall prevalence of psychiatric disorders was 16.22%. Attention-deficit and disruptive behavior disorders were the commonest in the diagnostic categories of psychiatric disorders (10.69%). Regarding specific disorders, the most prevalent was attention-deficit/hyperactivity disorder (5.95%). Psychiatric disorders were more prevalent in boys than in girls (20.49% vs 11.16%; P<0.01). The prevalence of attention-deficit and disruptive behavior disorders in boys was higher than in girls (14.76% vs 5.87%; P<0.01). The prevalence of psychiatric disorders in middle school students (12-17 years) was significantly higher than in primary students (5-11 years) (18.38% vs 14.64%; P<0.01). There were no significant differences in the prevalence of psychiatric disorders between urban and rural students. CONCLUSIONS: Psychiatric disorders are common among primary and middle school students in Hunan Province. The prevalence of this disorder in boys is higher than in girls. The middle school students have higher prevalence than primary students.［Chin J Contemp Pediatr, 2010, 12 (2):123-127］

Key words： Psychiatric disorder Epidemiological investigation Prevalence Child

PACS:

R749.94

引用本文:

管冰清,罗学荣,邓云龙等. 湖南省中小学生精神障碍患病率调查[J]. 中国当代儿科杂志, 2010, 12(2): 123-127.

GUAN Bing-Qing,LUO Xue-Rong,DENG Yun-Long et al. Prevalence of psychiatric disorders in primary and middle school students in Hunan Province[J]. CJCP, 2010, 12(2): 123-127.

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http://www.zgddek.com/CN/ 或 http://www.zgddek.com/CN/Y2010/V12/I2/123

	［1］Diagnostic and Statistical Manual of Mental Disorders［M］. 4th ed. Washington DC:American Psychiatric Association, 1994:37-39.
	［2］Hofstra MB, van der Ende J, Verhulst FC. Child and adolescent problems predict DSM-IV disorders in adulthood: a 14-year follow-up of a Dutch epidemiological sample［J］. J Am Acad Child Adoles Psychiatry, 2002 (2):182-189.
	［3］Roberts RE, Attkisson CC, Rosenblatt A. Prevalence of psychopathology among children and adolescents［J］. Am J Psychiatry, 1998 (6):715-725.
	［4］张越, 王淑清, 刘淑贤. 4～16岁儿童心理行为问题的流行病学调查［J］. 中国妇幼保健, 2007(13):1829-1830.
	［5］刘美华, 周小军, 况小燕, 李维君, 胡淑章, 钟云莺, 等. 江西省儿童行为问题流行病学调查研究［J］. 实用临床医学, 2008 (11):108-110.
	［6］Liu X, Kurita H, Tachimori H, Guo C, Ze J, Okawa M. Behavioral and emotional problems in Chinese children: teacher reports for ages 6 to 11［J］. J Child Psychol Psychiatry Allied Disciplines, 2000(2):253-260.
	［7］王玉凤, 沈渔邨. 学龄儿童行为问题综合研究之一——流行病学调查报告［J］. 中国心理卫生杂志, 1989(3):104-110.
	［8］全国22个城市协作调查组.儿童行为问题影响因素分析:22城市协作调查24 013名儿童少年报告［J］. 中国心理卫生杂志, 1993(1): 13-15.
	［9］李雪荣，万国斌，苏林雁，杨志伟，罗学荣，王明祥，等. 湖南省4岁—16岁儿童少年精神卫生问题流行学调查［J］. 湖南医科大学学报, 1993, 18(1):43-46.
	［10］李丹，陈国鹏.瑞文测验联合型（CRT）中国修订版手册［M］.上海：华东师范大学教科院出版社，1989：6.
	［11］Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, et al. Schedule for affective disorders and schizophrenia for school-age childrenpresent and lifetime version (K-SADS-PL): initial reliability and validity data［J］. J Am Acad Child Adolescent Psychiatry, 1997, 36(7): 980-988.
	［12］Roberts RE, Roberts CR, Xing Y. Rates of DSM-IV psychiatric disorders among adolescents in a large metropolitan area［J］. J Psychiatr Res, 2007, 41(11): 959-967.
	［13］Alyahri A, Goodman R. The prevalence of DSM-IV psychiatric disorders among 7-10 year old Yemeni schoolchildren［J］. Social Psychiatry Psychiatr Epidemiol, 2008, 43(3):224-230.
	［14］Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold, A. Prevalence and development of psychiatric disorders in childhood and adolescence［J］. Arch General Psychiatry, 2003, 60(8):837-844.
	［15］Fleitlich-Bilyk B, Goodman R. Prevalence of child and adolescent psychiatric disorders in Southeast Brazil［J］. J Am Acad Child Adolesc Psychiatry, 2004, 43(6):727-734.
	［16］Heiervang E, Stormark KM, Lundervold AJ, Heimann M, Goodman R, Posserud MB, et al. Psychiatric disorders in Norwegian 8-to 10-year-olds: an epidemiological survey of prevalence, risk factors, and service use［J］. J Am Acad Child Adolesc Psychiatry, 2007, 46(4):438-447.
	［17］Petersen DJ, Bilenberg N, Hoerder K, Gillberg C. The population prevalence of child psychiatric disorders in Danish 8-to 9-year-old children［J］. Europ Child Adolesc Psychiatry, 2006, 15(2):71-78.
	［18］Ford T, Goodman R, Meltzer H. The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders［J］. J Am Acad Child Adolesc Psychiatry, 2003, 42(10):1203-1211.
	［19］Canino G, Shrout PE, Rubio-Stipec M, Bird HR, Bravo M, Ramirez R, et al. The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment［J］. Arch General Psychiatry, 2004, 61(1): 85-93.
	［20］潘雯. 辽宁省儿童青少年精神障碍的流行病学调查分析［D］.沈阳：中国医科大学，2008.
	［21］Leung PW, Hung SF, Ho TP, Lee CC, Liu WS, Tang CP, et al. Prevalence of DSM-IV disorders in Chinese adolescents and the effects of an impairment criterion: a pilot community study in Hong Kong［J］. Eur Child Adolesc Psychiatry, 2008, 17(7): 452-461.
	［22］Gau SSF, Chong MY, Chen THH, Cheng Andrew TA. A 3-year panel study of mental disorders among adolescents in Taiwan［J］. Am J Psychiatry, 2005, 162(7): 1344-1350.
	［23］Sawyer MG, Miller LR, Clark JJ. The mental health of 13-17-year-olds in Australia: findings from the National Survey of Mental Health and Wellbeing［J］. J Youth Adolesc, 2007, 36(2): 185-194.
	［24］Srinath S, Girimaji SC, Gururaj G, Seshadris S, Subbakrishna DK, Bhola P, et al. Epidemiological study of child & adolescent psychiatric disorders in urban & rural areas of Bangalore, India［J］. Indian J Med Res, 2005, 122(1): 67-79.
	［25］Manassis K. Childhood anxiety disorders: lessons from the literature［J］. Canadian J Psychiatry, 2000, 45 (8):724.
	［26］Cicchetti D, Toth SL. The development of depression in children and adolescents［J］. Am Psychologist, 1998(2):221-41.
	［27］Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE. Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study［J］. J Abnormal Psychol, 1998 (1):128-140.
	［28］Liu X, Sun Z, Neiderhiser JM, Uchiyama M, Okawa M, Rogan W. Behavioral and emotional problems in Chinese adolescents: parent and teacher reports［J］. J Am Acad Child Adolesc Psychiatry, 2001(7):828-836.