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E89004
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高雄地區憂鬱症流行病學調查:憂鬱症盛行率與危險因子之評估(II)
Social Condition and Depressive Disorder: a Social Ecological Perspective from the Example of Kaohsiung Metropolis (II)
1.李昱
1.Yu Lee
1.高雄長庚醫院精神科
1.Department of Psychiatry, Chang Gung Memorial Hospital
001,002,003,004
1.高雄長庚醫院精神科
1.Department of Psychiatry, Chang Gung Memorial Hospital
005
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):1999-08-01
A.14 計畫執行期間(訖):2000-07-31
2000-05-012000-07-31
A.16 收到日期:2000-10-26
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設籍於高雄縣鳳山市、梓官鄉、田寮鄉之居民

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598


598
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C.2 聯絡日期:2000-10-30
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1.高雄長庚醫院精神科
1.Department of Psychiatry, Chang Gung Memorial Hospital
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C.7 資料公開日期:2000-08-01
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1.危險因子
2.盛行率
3.憂鬱症
1.Risk Factors
2.Depressive Disorder
3.Prevalence Rates
為 了有效地偵測出隱藏憂鬱症患者,減低自殺的危險,本計畫繼第一年發展出一俱文化敏感度適用台灣社區居民的憂鬱篩選問卷後,第二年擬以之為依據,進行大高雄 社區憂鬱症流行病學調查。依據過去台灣憂鬱症流行病學之研究,推估憂鬱症 (包括重鬱症與輕鬱症) 之盛行率約為 5%,以Epi Info軟體第六版估算出社區篩選的人數約為600名,故以此樣本數為研究對象,進行本年度之憂鬱症篩選。根據都市化不同的程度,立意選取鳳山市、梓官 鄉、田寮鄉代表城市、小鎮、鄉村三種行政區。以分層取樣的方式選取高雄縣市18歲以上、65歲以下之居民為研究對象進行問卷訪談。採兩階段個案鑑定之方 法,第一階段以「台灣人憂鬱問卷」進行個案篩選,爾後再針對疑似個案組之全部,以及疑似非個案組之五分之一對象,施以SCID訪談以確定診斷,共 598名個案完成調查。其研究結果如下:1.憂鬱症能個案之點盛行率為8.5%,其中重度憂鬱症1.3%,輕鬱症2.7%,其他憂鬱症4.5%。2.憂鬱 症個案女性(10.2%)為男性(6.7%)的1.5倍。3.以單變項分析,發現憂鬱症個案有固定吃鎮定劑協助入睡、有固定服用醫師處方、有明顯生活事 件,較非憂鬱症之個案多,達統計顯著差異。本研究有以下初步結論:1.憂鬱症個案之生活事件,以經濟問題(51%),照顧家人子女之重擔(29.4%), 身體問題(25.5%) 最顯著。2.憂鬱症之可能危險因子為重大生活事件、有固定吃鎮定劑協助入睡者、有固定服用醫師處方者。3.本研究憂鬱症之總盛行率均高於胡海國與鄭泰安之 流行病學報告。可能之解釋為生活壓力較以往更為沉重,尤其以經濟之負擔最嚴重。

The purpose of this research project is to conduct a two-stage (screening questionnaire and psychiatric interview ) cross-sectional community epidemiological survey to assess risk factors affecting the distribution of depressive disorder in Kaohsiung Metropolis .During the first year , the investigators have developed a culture-relevant \" Taiwanese Depression Questionnaire \" which had satisfactory reliability and validity.Thereafter,based on the results of the first year study, a community survey of depressive disorder in Kaohsiung Metropolis will be conducted. Estimated case numbers, 600 , was calculated by Epi Info software ( 6th version ) based on 5% prevalence rate of depressive disorder from the previous community studies in Taiwan . Subjects was selected employing the stratified sampling method. After the first stage screen , all subjects in the case group and one fifth of the subjects in the non-case group were interviewed with SCID to assure diagnostic accuracy. After that , an analysis will assess the prevalence of depressive disorder in relation to various exposures on the results of previous studies and related references. The results and discussion will be further explicated and interpreted.

D.16 完成檢誤日期:2001-06-13
D.17 預定釋出日期:2002-08-01
D.18 初次釋出日期:2002-06-06
D.19_1 最新版釋出日期:2002-06-06
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10.6141/TW-SRDA-E89004-1
http://efenci.srda.sinica.edu.tw/webview/index.jsp?object=http://efenci.srda.sinica.edu.tw:80/obj/fStudy/E89004
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