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世界心理健康调查中的强迫症
Dan J Stein1, Ayelet Meron Ruscio2, Yasmin Altwaijri3
1University of Cape Town.
Research square
|March 17, 2025
概括
强迫症 (OCD) 影响全球4.1%的成年人,通常在成年早期开始,并且经常没有得到治疗,特别是在低收入国家. 早期诊断和治疗对于这种普遍的心理健康状况至关重要.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 全球心理健康全球心理健康
背景情况:
- 强迫症 (OCD) 被认为是严重的心理健康状况,但跨国数据,特别是来自低收入和中等收入国家 (LMICs),是有限的.
- 现有的国家调查表明强迫症的流行程度和损害性质,突出需要更广泛的国际研究.
研究的目的:
- 通过世界心理健康调查的数据,在不同国家描述强迫症的发病,病程,严重程度和治疗.
- 调查强迫症发病,持续,严重程度和治疗的预测因素,包括社会人口统计学变量和先前的精神障碍.
主要方法:
- 利用来自10个国家的一般人口调查的数据,采用一致的研究方案和对26,136名成年人的面对面采访.
- 评估寿命和12个月的流行,发病年龄,持续性,严重程度 (使用耶鲁-布朗强迫症尺度),以及DSM-IV强迫症治疗率.
- 检查了社会人口统计学因素和先前的精神障碍作为潜在的预测因素.
主要成果:
- 在10个国家中,强迫症的综合终身患病率为4.1%,12个月患病率为3.0%,表明强迫症的持续过程.
- 强迫症通常在青春期或成年早期出现 (超过80%的病例),大多数社区病例是轻度至中度的.
- 治疗率总体较低 (19.8%),与高收入国家 (HICs) (40.5%) 相比,在LMICs (7.0%) 显着较低.
结论:
- 跨国数据显示,强迫症是一种普遍和持久的疾病,通常在生命早期开始,并且经常未得到充分治疗,特别是在LMICs.
- 强调强迫症的公共卫生重要性以及早期诊断,全面的并发症评估和改善治疗准入的必要性.
- 突出了不同国家的强迫症发病,持久性,严重程度和治疗的不同社会人口和精神病理风险因素.
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