过去一年精神和物质使用障碍的患病率,2021-2022年
Heather Ringeisen1, Mark Edlund1, Heidi Guyer1
1RTI International, Research Triangle Park, North Carolina (Ringeisen, Edlund, Guyer, Dever, Carpenter, Geiger, Liao, Peytchev, Carr, Stambaugh); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City (Olfson); New York State Psychiatric Institute, Columbia University Irving Medical Center, New York City (First, Dixon, Stroup, Bareis, Smith); Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle (Chwastiak, Monroe-Devita); Duke Health, School of Medicine, and the Wilson Center for Science and Justice, School of Law, Duke University, Durham, North Carolina (Swanson, Swartz); Center for Health Statistics, University of Chicago, Chicago (Gibbons); Department of Health Care Policy, Harvard Medical School, Boston (Kessler).
这项研究发现,在美国成年人中,精神分裂症谱系障碍,严重抑郁症和普遍焦虑症的流行率较高. 迫切需要增加心理健康资源,以应对这些不断增加的心理健康状况.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 估计精神和物质使用障碍的患病率对于解决治疗需求至关重要.
- 精神分裂症谱系障碍,主要抑郁症和泛性焦虑症严重影响公众健康.
研究的目的:
- 估计过去一年美国成年人 (18-65岁) 中精神和物质使用障碍的患病率,包括精神分裂症谱系障碍.
- 评估这些疾病的损伤程度和与流行病相关的原因.
主要方法:
- 精神和物质使用障碍流行研究 (MDPS) 在2020年10月至2022年10月期间调查了5679名美国成年人.
- 根据DSM-5标准进行了结构化临床面试.
- 评估了流行率估计,损伤水平和与大流行有关的因果关系.
主要成果:
- 过去一年,精神分裂症谱系障碍的患病率为1.2%,明显高于之前的报告.
- 大型抑郁症 (15.5%) 和泛性焦虑症 (10.0%) 的发病率很高.
- 药物使用障碍影响了10.6%的参与者,其中一半经历了中度到严重的障碍.
结论:
- 精神分裂症谱系障碍,主要抑郁症和GAD的患病率远远高于以前记录的.
- 大约20%的这些精神健康病例可能与COVID-19大流行有关.
- 迫切需要增加心理健康治疗资源,以满足不断增长的需求.
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