云南宁蒗地区摩梭人创伤后应激障碍的流行病学调查

Epidemiological investigation of post-traumatic stress disorder in Mosuo people in Ninglang area of Yunnan province

摘要:

目的：了解云南宁蒗地区摩梭人遭受创伤后的应激障碍发病情况。方法：采用多阶段分层随机抽样方法，使用定式检查问卷《简明国际神经精神病访谈》（the MINI-international neuropsychiatric interview，MINI）对永宁乡摩梭人进行调查。结果：共1 121人完成调查。创伤后应激障碍（post traumatic stress disorder，PTSD）阳性率为3.57‰（95%CI=0.07‰~7.00‰），标化率为3.62‰。男性PTSD阳性率为5.29‰（95%CI=0‰~12.64‰），标化率为5.29‰；女性PTSD阳性率为2.69‰（95%CI=0‰~6.43‰），标化率为2.76‰，男性阳性率高于女性，40~49岁及60岁以上年龄组PTSD阳性率分别为0.8%、0.5%，高于其他年龄组阳性率（0.0%）。结论：创伤后应激障碍作为影响摩梭人心理健康及社会经济发展的因素之一，应积极开展防治工作。

Abstract:

Objective：To investigate the positive incidence of post-traumatic stress disorder（PTSD） in Mosuo people. Methods：All the subjects were surveyed by the structural questionnaires：the MINI-international neuropsychiatric interview（MINI） using the stage random sampling method. Results：Totally 1 121 subjects completed the screening.The the positive incidence of PTSD was 3.57‰（95%CI=0.07‰ to 7.00‰），and the standardized rate was 3.62‰，with 5.29‰（95%CI=0‰ to 12.64‰） of men and 2.69‰（95%CI=0‰ to 6.43‰）of women.The positive incidence of 40 to 49 years old and over sixty in Mosuo people were 0.8% and 0.5%，respec－tively，higher than those of other age brackets（0.0%）. Conclusion：PTSD is one of the factors that affects the social and economic development for Mosuo people. It is necessary to carry out research for its prevention.