丹麦精神障碍患者死亡率差距的时间趋势:2010-2023年人口基队列研究
Oleguer Plana-Ripoll1,2,3, Merete Nordentoft4, Mette Lise Lousdal1,2
1National Centre for Register-Based Research, Department of Public Health, Aarhus University, Aarhus, Denmark.
Acta psychiatrica Scandinavica
|December 5, 2025
概括
精神疾病患者的死亡率差距仍然存在,尽管随着时间的推移,死亡率正在下降. 对于一些疾病和男性来说,有所改善,但对于精神分裂症等严重疾病没有改善.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 精神障碍患者与普通人群之间存在很大的死亡率差距.
- 以前的研究已经确定了这种差异,但时间趋势需要全面调查.
研究的目的:
- 分析从2010年到2023年精神疾病患者的死亡率和死亡率差距的变化.
- 识别不同精神障碍分类和人口群体的趋势.
主要方法:
- 使用丹麦全国行政数据 (2010-2023) 进行基于人口的队列研究.
- 包括所有年龄为1至99岁的个人,并将精神障碍分为10组.
- 直接按性别和年龄标准化死亡率和标准化死亡率 (SMR) 估计,跨越五个日历时期.
主要成果:
- 在2010-2023年期间,精神疾病患者的整体死亡率为每1000人年19.8人 (SMR 2.15)
- 两组的死亡率都下降了,SMR从2.47 (2010-2012) 降至2.32 (2022-2023).
- 在男性和抑郁症和焦虑症等疾病中观察到改善,但不是精神分裂症或物质使用障碍.
结论:
- 观察到的精神疾病患者死亡率的改善并没有缩小死亡率差距.
- 在严重精神疾病方面,差距仍然特别大.
- 加强和新的公共卫生倡议对于解决这种持续的差异至关重要.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
973
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
973
Depressive Disorders: MDD and Dysthymia
581
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
581
Applications of Life Tables
311
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
311
Theoretical Approaches to Psychological Disorder
729
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
729
Current Trends in Nursing I
5.2K
Current trends in nursing include:
5.2K
Depressive Disorders: Etiology
415
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
415


