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The prevalence, age-of-onset and the correlates of DSM-IV psychiatric disorders in the Tianjin Mental Health Survey (TJMHS)
- Source :
- Psychological Medicine, 48(3), 473-487. Cambridge University Press
- Publication Year :
- 2018
- Publisher :
- Cambridge University Press, 2018.
-
Abstract
- BackgroundTo effectively shape mental healthcare policy in modern-day China, up-to-date epidemiological data on mental disorders is needed. The objective was to estimate the prevalence, age-of-onset (AOO) and sociodemographic correlates of mental disorders in a representative household sample of the general population (age ⩾ 18) in the Tianjin Municipality in China.MethodsData came from the Tianjin Mental health Survey (TJMHS), which was conducted between July 2011 and March 2012 using a two-phase design. 11 748 individuals were screened with an expanded version of the General Health Questionnaire and 4438 subjects were selected for a diagnostic interview by a psychiatrist, using the Structured Clinical Interview for the Diagnostic and Statistical Manual – fourth edition (SCID).ResultsThe lifetime and 1-month prevalence of any mental disorder were 23.6% and 12.8%, respectively. Mood disorders (lifetime: 9.3%; 1-month: 3.9%), anxiety disorders (lifetime: 4.5% 1-month: 3.1%) and substance-use disorders (lifetime: 8.8%; 1-month: 3.5%) were most prevalent. The median AOO ranged from 25 years [interquartile range (IQR): 23–32] for substance-use disorders to 36 years (IQR: 24–50) for mood disorders. Not being married, non-immigrant status (i.e. local ‘Hukou’), being a farmer, having ConclusionResults from the current survey indicate that mental disorders are steadily reported more commonly in rapidly-developing urban China. Several interesting sociodemographic correlates were observed (e.g. male gender and non-immigrant status) that warrant further investigation and could be used to profile persons in need of preventive intervention.
- Subjects :
- Male
12-MONTH PREVALENCE
METROPOLITAN CHINA
GENERALIZED ANXIETY DISORDER
EPIDEMIOLOGIC CATCHMENT-AREA
NATIONAL-COMORBIDITY-SURVEY
0302 clinical medicine
Surveys and Questionnaires
Prevalence
SOCIOECONOMIC-STATUS
Age of Onset
Applied Psychology
Aged, 80 and over
education.field_of_study
Mental Disorders
LIFETIME PREVALENCE
Middle Aged
Diagnostic and Statistical Manual of Mental Disorders
Psychiatry and Mental health
Income
Anxiety
Female
medicine.symptom
Adult
China
medicine.medical_specialty
Generalized anxiety disorder
Adolescent
Population
UNITED-STATES
Young Adult
03 medical and health sciences
Age Distribution
Prevalence of mental disorders
medicine
Journal Article
Humans
Sex Distribution
Psychiatry
education
Aged
business.industry
MAJOR DEPRESSION
medicine.disease
Mental health
030227 psychiatry
Logistic Models
Mood disorders
National Comorbidity Survey
SUBTHRESHOLD
General Health Questionnaire
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 14698978 and 00332917
- Volume :
- 48
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Psychological Medicine
- Accession number :
- edsair.doi.dedup.....58d1eae6f172d32f1b3dd8b14dc9b10f