澳大利亚2020-2022年同时出现的精神和物质使用障碍:一般人口中的患病率,模式,条件概率和相关值
Matthew Sunderland1, Joshua Vescovi1, Cath Chapman1
1The Matilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, NSW, Australia.
The Australian and New Zealand journal of psychiatry
|October 11, 2024
概括
在澳大利亚,同时出现的精神和物质使用障碍仍然很常见. 虽然总体患病率稳定,但年轻人显示这些情况的显著增加,这表明对这一人口群体的担忧越来越大.
科学领域:
- 心理健康研究 心理健康研究
- 成研究 研究成研究
- 公共卫生监督 公共卫生监督
背景情况:
- 2007年之前的估计强调了澳大利亚普遍存在的精神和/或物质使用障碍.
- 最近的进展改善了同时发生的疾病的概念化和治疗.
- 这项研究提供了当前的流行数据,常见模式,相关性和自2007年以来的变化.
研究的目的:
- 提供澳大利亚同时发生的精神和/或物质使用障碍的最新流行率估计.
- 为了确定这些同时发生的条件的共同模式和显著的相关性.
- 检查自2007年调查以来,并发性疾病患病率的变化.
主要方法:
- 利用来自澳大利亚两项国家心理健康和福祉调查 (2020-2022年和2007年) 的数据.
- 使用描述性统计数据来查看流行率,相关性和条件概率.
- 应用多项逻辑和强大的波桑回归来识别相关性并比较变化.
主要成果:
- 大约46%的精神障碍或物质使用障碍患者在过去12个月中经历了两个或两个以上的疾病.
- 自2007年以来,并发性疾病的总体患病率几乎没有变化 (PR = 1.08).
- 年轻的成年人 (16-24岁) 与2007年相比,在2020-2022年经历并发的可能性显著增加 (PR = 1.44).
结论:
- 同时出现的精神和物质使用障碍仍然在澳大利亚流行.
- 这些疾病在年轻人中越来越普遍和有问题.
- 建议针对广泛的上下文/社会因素进行跨诊断干预.
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