对长期悲伤障碍的流行率进行跨国分析
Hannah Comtesse1, Geert E Smid2, Anna-Maria Rummel1
1Catholic University Eichstaett-Ingolstadt, Eichstaett, Germany.
Journal of affective disorders
|January 14, 2024
概括
长期悲伤障碍 (PGD) 在全球影响了13%,在不那么脆弱的国家的比率更高. 方法因素和国家背景显著影响PGD患病率,强调对悲伤的社会文化影响.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 长期悲伤障碍 (PGD) 是一个公认的诊断,但研究主要集中在西方人群.
- 关于非西方国家的PGD患病率和影响跨国变化的因素的数据有限.
- 对全球心理健康倡议来说,了解国家对PGD患病率的具体影响至关重要.
研究的目的:
- 调查长期悲伤障碍 (PGD) 患病率在不同国家和国家内部变化的原因.
- 分析方法学,损失相关和国家背景特征作为PGD的预测因素.
- 通过各种国际研究的数据来确定PGD的全球平均流行率.
主要方法:
- 进行了对24项流行研究的元分析,结合了世界银行和2022年世界风险报告的数据.
- 负二项式回归被用来确定PGD率的预测因素.
- 随机效应模型被用来计算来自16个国家的34个样本的平均PGD患病率.
主要成果:
- 长期悲伤障碍 (PGD) 的平均患病率为13% (95% CI [11, 22]).
- 较高的PGD率与非概率抽样,较老的样本年龄和较低的国家脆弱性有关.
- 患病率差异很大,从概率样本的5%到非概率样本的16%.
结论:
- 长期悲伤障碍 (PGD) 显示出全球公共卫生相关性,其患病率受到方法论严谨性和社会文化因素的影响.
- 较不易受伤害的国家更好地获得资源显示了更高的PGD率,这表明对悲伤处理有重大社会文化影响.
- 进一步的跨国研究是必要的,以充分了解全球PGD的各种表现和决定因素.
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