石家庄地区焦虑障碍患者发病率及家庭因素的相关性调查

摘要

目的：调查石家庄地区焦虑障碍患者发病率及家庭因素的相关性。方法选择石家庄地区年龄＞18岁的成年人11932例为研究对象。根据研究对象的精神障碍分级应用SCID-I／P进行诊断检查，同时分析引发焦虑障碍的危险因素。结果焦虑障碍的总患病率3.20％。其中现患病率56.5％，既往病例43.5％。女性焦虑障碍的现患率大于男性。随着年龄的增长，焦虑障碍的现患率提高，其中＞50岁人群焦虑障碍的现患率最高。居住在农村人群焦虑障碍现患的几率更大。与现婚人群相比，处于分居或离婚、丧偶的人群终身患焦虑障碍的可能性更高。本地户口人群焦虑障碍的终身患病率高于外地户口人群。多因素非条件Logistic回归分析发现，分居或离异或丧偶、家庭人均收入低发生焦虑障碍的风险更大。焦虑障碍人群FES-CV量表中的娱乐性、亲密度、知识性、情感表达分值低于健康人群，且矛盾性分值则高于健康人群，差异有统计学意义（P＜0.01）。结论石家庄地区居民焦虑障碍的发病率较高，需要引起当地卫生部门的高度重视。女性、高龄、居住在农村都是焦虑障碍的威胁因素，同时家庭人均收入、家庭人员情况也是影响焦虑障碍发生的重要因素，应针对焦虑障碍的高危人群做好防治工作。%Objective To explore the correlation between the incidence of anxiety disorder and the family factors in Shiji-azhuang City. Methods Eleven thousand nine hundred and thirty-two adult people aged at or more than 18 in Shijiazhuang were selected as the research object. SCID-I/P was adopted to classify the level of mental disorders of the people and analyze the risk factors of anxiety disorders. Results The total prevalence rate of anxiety disorders was 3.20% ,including 56.5% of being with anxiety disorders and 43.5% having history of anxiety disorders. Anxiety disorders were more prevalent in women than in men ,and the prevalence rate of anxiety disorder would increase with growing of ages ,with the highest in the population aged more than 50. Also ,those living in rural areas were more vulnerable to prevalence of anxiety disorder. Compared with the pop-ulation in marriage ,those separated or divorced or widowed people were more likely to suffer from anxiety disorders. Lifetime prevalence of anxiety disorders in the local population was higher than those from the other regions. Non-conditional Logistic regression analysis showed that the family factors ,including separation or divorce or widowed and lower income were more cor-related with anxiety disorders. FES-CV indexes of the population with anxiety disorders ,including entertainment ,intimacy , knowledge ,and emotional expression were lower than those of healthy people ,and its value of contradiction was higher than that in healthy people. The above differences were statistically significant(P<0.01). Conclusion The incidence of anxiety dis-orders in Shijiazhuang is high ,meriting the attention from the local health department. Female ,growing age ,living in rural are-as are the risk factors of anxiety disorders ,so are family income per capita and relationship between family members ,therefore targeted prevention measures should be given to these high-risk populations.