无国界的愤怒:间歇性爆炸性障碍的全球流行和因素:系统审查和元分析
1The University of Manchester, Jean McFarlane Building, 176 Oxford Rd, Manchester M13 9PY, UK.
Clinical psychology review
|August 20, 2025
概括
在全球范围内,间歇性爆炸性障碍 (IED) 在一生中影响了5.1%. 风险因素包括男性性别,年轻年龄,创伤和并发病,临床和难民群体的患病率更高.
科学领域:
- 精神病学与全球健康
背景情况:
- 间歇性爆炸性障碍 (IED) 是一个严重的心理健康问题,其全球流行程度和影响因素尚不清楚.
- 了解IED的流行病学对于制定有效的公共卫生战略至关重要.
研究的目的:
- 综合全球关于间歇性爆炸性障碍 (IED) 的流行,决定因素和调节因素的数据.
- 确定主要风险因素和受IED影响不成比例的人口子组.
主要方法:
- 对17个国家的182,112名参与者进行的29项研究进行了系统审查和元分析.
- 对流行率估计,风险因素 (性别,年龄,创伤,并发症) 和诊断标准 (DSM-IV与DSM-5) 的分析.
主要成果:
- 整体IED患病率为5. 1%,12个月患病率为4. 4%.
- 在临床 (10. 5%),难民 (8. 5%) 和青少年群体中观察到更高的患病率.
- 男性的性别,年轻的年龄,创伤暴露和精神疾病是显著的风险因素;DSM-5标准给出了较低的患病率估计.
结论:
- 由于生物,心理和社会因素的复杂相互作用,IED在全球范围内普遍存在.
- 显著的区域差异和人口类型的差异凸显了具体环境干预的必要性.
- 提出一个分层干预框架,包括预防,向治疗和政策宣传,以减轻IED的全球负担.
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