年轻人的常见精神障碍:初级保健病例的时间趋势和自我报告的症状
Jennifer Dykxhoorn1,2, Francesca Solmi3, Kate Walters2
1UCL Division of Psychiatry, London, UK J.dykxhoorn@ucl.ac.uk.
BMJ mental health
|May 13, 2025
概括
常见的精神障碍 (CMD) 和心理困扰症状在2009-2019年年轻人中增加. 初级保健数据的增加可能反映出更大的症状负担,青少年的显着增加以及社会人口统计学群体之间的差异.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 流行病学 流行病学
背景情况:
- 年轻成年人中常见精神障碍 (CMD) 的初级保健咨询增加了.
- 目前尚不清楚这种趋势是否意味着寻求帮助的增加,症状的真正增加,或者两者兼而有之.
- 不同的社会人口统计学群体之间这些趋势的差异需要调查.
研究的目的:
- 检查初级保健记录的CMDs的时间趋势.
- 分析年轻成年人自我报告的心理痛苦症状的趋势.
- 为了比较这些趋势随着时间的推移和社会人口统计学因素.
主要方法:
- 利用了英国初级保健记录和1980年至2003年间出生的人的纵向队列数据.
- 追踪的参与者从16岁到39岁 (或2019-2020年随访结束).
- 2009-2019年记录的CMD和自我报告的痛苦症状的计算年发病率和发病率比率.
主要成果:
- 在2009-2019年期间,记录的CMD增加了9.90%,心理困扰症状增加了19.33%.
- 在年龄较大的青少年 (16-19岁) 和1995年后出生的人群中,观察到的最显著的增加.
- 记录的CMD在男性中比女性增加了更多,在较不贫困地区比贫困地区增加了更多,尽管类似的症状增加.
结论:
- 在年轻人中,记录的CMD和心理困扰症状都增加了,这表明症状负担的潜在增加.
- 在社会人口统计学群体中记录的CMD和痛苦症状之间的差异表明医疗保健提供与人口需求之间可能存在不一致.
- 某些受影响群体可能没有得到足够的心理健康护理支持.
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