Lifetime Prevalence and Correlates of Schizophrenia-Spectrum, Affective, and Other Non-affective Psychotic Disorders in the Chinese Adult Population

被引:61
作者
Chang, Wing Chung [1 ,2 ]
Wong, Corine Sau Man [1 ]
Chen, Eric Yu Hai [1 ,2 ]
Lam, Linda Chiu Wa [3 ]
Chan, Wai Chi [1 ]
Ng, Roger Man Kin [4 ]
Hung, Se Fong [5 ]
Cheung, Eric Fuk Chi [6 ]
Sham, Pak Chung [1 ,2 ]
Chiu, Helen Fung Kum [3 ]
Lam, Ming [6 ]
Lee, Edwin Ho Ming [1 ]
Chiang, Tin Po [6 ]
Chan, Lap Kei [5 ]
Lau, Gary Kar Wai [7 ]
Lee, Allen Ting Chun [7 ]
Leung, Grace Tak Yu [7 ]
Leung, Joey Shuk Yan [5 ]
Lau, Joseph Tak Fai [8 ]
van Os, Jim [9 ]
Lewis, Glyn [10 ]
Bebbington, Paul [10 ]
机构
[1] Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
[2] Univ Hong Kong, State Key Lab Brain & Cognit Sci, Hong Kong, Hong Kong, Peoples R China
[3] Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
[4] Kowloon Hosp, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
[5] Kwai Chung Hosp, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
[6] Castle Peak Hosp, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
[7] Tai Po Hosp, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
[8] Chinese Univ Hong Kong, Jockey Club Sch Publ Hlth & Primary Care, Hong Kong, Hong Kong, Peoples R China
[9] Maastricht Univ, Dept Psychiat & Psychol, Maastricht, Netherlands
[10] UCL, Div Psychiat, London, England
关键词
epidemiology; population surveys; lifetime prevalence; schizophrenia; affective psychoses; PSYCHIATRIC-DISORDERS; HONG-KONG; 12-MONTH PREVALENCE; NATIONAL-SURVEY; FOLLOW-UP; MENTAL-DISORDERS; GLOBAL BURDEN; RISK-FACTORS; COMMUNITY; EPIDEMIOLOGY;
D O I
10.1093/schbul/sbx056
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Lifetime prevalence of psychotic disorders varies widely across studies. Epidemiological surveys have rarely examined prevalences of specific psychotic disorders other than schizophrenia, and the majority used a single-phase design without employing clinical reappraisal interview for diagnostic verification. The current study investigated lifetime prevalence, correlates and service utilization of schizophrenia-spectrum, affective, and other non-affective psychotic disorders in a representative sample of community-dwelling Chinese adult population aged 16-75 years (N = 5719) based on a territory-wide, population-based household survey for mental disorders in Hong Kong. The survey adopted a 2-phase design comprising first-phase psychosis screening and second-phase diagnostic verification incorporating clinical information from psychiatrist-administered semi-structured interview and medical record review to ascertain DSM-IV lifetime diagnosis for psychotic disorders. Data on sociodemographics, psychosocial characteristics and service utilization were collected. Our results showed that lifetime prevalence was 2.47% for psychotic disorder overall, 1.25% for schizophrenia, 0.15% for delusional disorder, 0.38% for psychotic disorder not otherwise specified, 0.31% for bipolar disorder with psychosis, and 0.33% for depressive disorder with psychosis. Schizophrenia-spectrum disorder was associated with family history of psychosis, cigarette smoking and variables indicating socioeconomic disadvantage. Victimization experiences were significantly related to affective psychoses and other non-affective psychoses. Around 80% of participants with any psychotic disorder sought some kind of professional help for mental health problems in the past year. Using comprehensive diagnostic assessment involving interview and record data, our results indicate that approximately 2.5% of Chinese adult population had lifetime psychotic disorder which represents a major public health concern.
引用
收藏
页码:1280 / 1290
页数:11
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