ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08541.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTMore than thirty studies of the prevalence of psychiatric disorders have been reported from Western countries in the last thirty years. Significant methodological advances have occurred, including sophistication of sampling techniques, improvements in caseness definitions and identification of cases, and clear definitions and specification of rules for diagnosis. The introduction of standardized diagnostic instruments for use by trained lay interviewers is expected to facilitate studies of psychiatric epidemiology. The methods used in each of the studies are briefly described.

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08542.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACT‐This paper describes aspects of the study design and field methods used in a survey of psychiatric disorders carried out in Edmonton, Alberta, Canada. Between January 1983 and May 1986, information was gathered on 3,258 community residents using the Diagnostic Interview Schedule and the General Health Questionnaire ‐ 30 item version. The survey had a response rate of 71.6%. The nature of the sampling stragegy used, features of the study instruments chosen, the selection and training of interviewers, and the approach to data analysis are briefly descri

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08543.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACT‐3,258 randomly selected adult household residents of Edmonton were interviewed by trained lay interviewers using the Diagnostic Interview Schedule (DIS). Lifetime prevalence for 16 DIS/DSM III diagnoses are given. Overall 33.8% of the population had one or more diagnoses and, excluding substance use disorders, one fifth of the population had a diagnosis. The most common lifetime diagnosis was alcohol abuse/dependence, followed by phobia and major depressive episode. Men were more likely to have had substance use disorders and antisocial personality disorder and women more likely to have had major depressive episode, dysthymia, agoraphobia and simple phobia. Those who were married had generally lower lifetime prevalences. Those over age 65 had the lowest prevalence of any age group

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08544.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACT‐3,258 randomly selected adult household residents of Edmonton were interviewed by trained lay interviewers using the Diagnostic Interview Schedule (DIS). Six‐month prevalence figures for DIS/DSM III diagnoses are given, and selected figures for the one‐month and one‐year prevalence, and the one‐year symptom‐free rates. The six‐month prevalence for any diagnosis is 17.1%, comparable to findings from other population studies using DSM III derived diagnoses, but lower than studies using the PSE. The prevalence rates for most disorders tended to be lowest in the elderly, but this was not as marked as the drop in lifetime prevalence. Men had higher prevalence for substance use disorders than women, but women had higher rates for affective disorders and anxiety/somatoform disorders. Prevalences for all disorders were either similar or lower in those who were married or living as though married, than in those who were not cohabiting. One‐year symptom‐free rates were highest for those with substance use disorders and lowest for those with anxiety/somatoform disorders ‐ largely due to the per

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08545.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTAge of onset of psychiatric disorders was determined from a random sample of 3, 258 household residents who were administered the DIS by trained lay interviewers. Onset was determined by the subject's recall of the age of the first symptom in those who met lifetime criteria for a diagnosis (DSM III without exclusions). The peak age of risk for most disorders was from the teens to 30 years, however a number of schizophrenics showed first symptoms before age 10. Few cases of any disorder had an onset in old age. The ages of onset are generally lower than those usually given from series of treated or hospitalized cases.

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08546.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTLifetime morbidity risks and percentiles of the age of onset distribution are given for a series of psychiatric disorders based on data collected as part of a community survey in Edmonton, Canada. The Diagnostic Interview Schedule (DIS) was used to gather information from 3,258 community residents between January 1983 and May 1986. Using a recently developed method of estimating morbidity risks from survey data, the lifetime morbidity risks for depression (male 16.4%, female 22.3%), schizophrenia (male 1.2%, female 1.0%), and other disorders were calculated. These results are consistent with previously published reports.

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08547.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTPrevalence rates (six month and lifetime) for a random sample (N=358) of the eldery living at home, are compared to the rates for a sample (N=3,258) of the whole adult popultion of Edmonton and found to be generally lower in the elderly, except for cognitive impairment. These household resident results are similar to those reported from the United States using similar methods. A sample (N = 199) of the elderly living in institutions was found to have a very high overall prevalence of illness, mostly consisting of cognitive impairment (69%). It is estimated that over half of all cases of cognitive impairment live in institutions. This has considerable implications for the programs in institutions for the elderly, and also the need for institutions in the future, unless alternate means of care can be developed.

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08548.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTThe relationship between lifetime histories of attempting suicide, psychiatric disorders and other social problems was assessed by examining data from a random sample of 3,258 household residents of Endmonton who were administered the Diagnostic Interview Schedule (DIS) and the Goldberg General Health Questionnaire (GHQ) by trained lay interviewers. While the overall lifetime rate for suicide attempt was 3.6%, of particular interest was the finding that a lifetime history of a psychiatric disorder was 2.6 times more frequent in those who had made a suicide attempt than in those who had not. Alcoholism, major depressive episode and antisocial personality disorder carried the highest lifetime prevalence rates for male attempters, whereas major depressive episode, alcoholism and phobic diorder were the most common disorders in female attempters. Having thoughts and feelings about wanting to die and committing suicide were strongly associated with having made a sucide attempt in both males and females. GHQ results indicated that in comparison to nonattempters those who attempted suicide were more likely to have high current symptom levels.

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08549.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTSignificant reltionships were found between unemployment in the last five years and a lifetime history of psychiatric disorder. These results are based on interviews of 3,258 randomly selected non‐institutionalized adult residents of Edmonton, conducted by trained lay interviewers using the Diagnostic Interview Schedule (DIS) and the Goldberg General Health Questionnaire (GHQ, 30‐item). Having a lifetime history of a psychiatric disorder increased the odds of being unemployed 2.8 times. Disorders carrying the highest risk for unemployment were anorexia, antisocial perssonality disorder, schizophrenia, and substance use disorders. GHQ results indicated that those experiencing periods of unemployment are also likely to have higher current symptom and stress levels than those who are emplo

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1988.tb08550.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY