PDF(Pubmed)
Abstract：
Primary healthcare centers (PHCs) serve as the cornerstone of accessible medical services in society, playing a crucial role in screening, detecting, and treating various health issues. This study aimed to investigate the prevalence of psychiatric disorders in middle-aged individuals who refer to PHCs and the potential of PHCs in diagnosing mental disorders.
This cross-sectional study was implemented at PHCs under the supervision of Mashhad University of Medical Sciences (MUMS) in northeast Iran in 2018. The enrolled subjects were middle-aged adults who had electronic medical records in SINA, an integrated health management system, and the electronic medical records of MUMS. The prevalence of psychiatric disorders by type and their relationship with demographic information was evaluated by a Chi-square test using SPSS 22.
This study involved 218,341 middle-aged participants. Prevalence of psychiatric disorders was 8.59%, and depression (53.72%) and anxiety (42.02%) were the most common psychiatric disorders in both males and females. The prevalence of mental disorders was significantly higher in females than in males (88.18% vs. 18.81%; P < 0.0001). Indeed, a significant higher prevalence of depression, anxiety, somatoform, childhood psychiatric disorder, and bipolar disorders was observed in females compared to males (P < 0.05). In addition, individuals between the age of 45-60 years, and those from rural areas showed more prevalence of mental disorders than others, but these differences were not significant.
Considering the previous studies in Iran, the prevalence of mental disorders among patients presenting to PHCs was noticeably lower than expected rates. It seems probable that this huge difference is due to poor screening and detection of mental illness in PHCs of MUMS. It is recommended that health policymakers pursue specific measures to make PHCs more helpful for people with mental health problems in the community.
This cross-sectional study was implemented at PHCs under the supervision of Mashhad University of Medical Sciences (MUMS) in northeast Iran in 2018. The enrolled subjects were middle-aged adults who had electronic medical records in SINA, an integrated health management system, and the electronic medical records of MUMS. The prevalence of psychiatric disorders by type and their relationship with demographic information was evaluated by a Chi-square test using SPSS 22.
This study involved 218,341 middle-aged participants. Prevalence of psychiatric disorders was 8.59%, and depression (53.72%) and anxiety (42.02%) were the most common psychiatric disorders in both males and females. The prevalence of mental disorders was significantly higher in females than in males (88.18% vs. 18.81%; P < 0.0001). Indeed, a significant higher prevalence of depression, anxiety, somatoform, childhood psychiatric disorder, and bipolar disorders was observed in females compared to males (P < 0.05). In addition, individuals between the age of 45-60 years, and those from rural areas showed more prevalence of mental disorders than others, but these differences were not significant.
Considering the previous studies in Iran, the prevalence of mental disorders among patients presenting to PHCs was noticeably lower than expected rates. It seems probable that this huge difference is due to poor screening and detection of mental illness in PHCs of MUMS. It is recommended that health policymakers pursue specific measures to make PHCs more helpful for people with mental health problems in the community.
摘要：
背景：初级医疗中心（PHCs）是社会可获得医疗服务的基石，在筛查中起着至关重要的作用，检测，治疗各种健康问题。这项研究旨在调查参考PHC的中年人的精神疾病患病率以及PHC在诊断精神疾病中的潜力。
方法：这项横断面研究于2018年在伊朗东北部马什哈德医科大学（MUMS）的监督下在PHCs实施。纳入的受试者是在新浪有电子病历的中年人，一个综合的健康管理系统，和MUMS的电子病历。使用SPSS22通过卡方检验评估了按类型划分的精神疾病的患病率及其与人口统计学信息的关系。
结果：本研究涉及218,341名中年参与者。精神病患病率为8.59%,抑郁(53.72%)和焦虑(42.02%)是男性和女性最常见的精神疾病。女性的精神障碍患病率明显高于男性（88.18%vs.18.81%;P<0.0001)。的确,抑郁症的患病率明显更高，焦虑,躯体形式,儿童精神病,女性与男性相比，观察到双相情感障碍（P<0.05）。此外,年龄在45-60岁之间的人，那些来自农村地区的人比其他人的精神疾病患病率更高，但这些差异并不显著。
结论：考虑到先前在伊朗的研究，出现PHCs的患者中精神障碍的患病率明显低于预期.这种巨大的差异似乎可能是由于MUMS的PHC对精神疾病的筛查和检测不力所致。建议卫生政策制定者采取具体措施，使PHC对社区中有精神健康问题的人更有帮助。
方法：这项横断面研究于2018年在伊朗东北部马什哈德医科大学（MUMS）的监督下在PHCs实施。纳入的受试者是在新浪有电子病历的中年人，一个综合的健康管理系统，和MUMS的电子病历。使用SPSS22通过卡方检验评估了按类型划分的精神疾病的患病率及其与人口统计学信息的关系。
结果：本研究涉及218,341名中年参与者。精神病患病率为8.59%,抑郁(53.72%)和焦虑(42.02%)是男性和女性最常见的精神疾病。女性的精神障碍患病率明显高于男性（88.18%vs.18.81%;P<0.0001)。的确,抑郁症的患病率明显更高，焦虑,躯体形式,儿童精神病,女性与男性相比，观察到双相情感障碍（P<0.05）。此外,年龄在45-60岁之间的人，那些来自农村地区的人比其他人的精神疾病患病率更高，但这些差异并不显著。
结论：考虑到先前在伊朗的研究，出现PHCs的患者中精神障碍的患病率明显低于预期.这种巨大的差异似乎可能是由于MUMS的PHC对精神疾病的筛查和检测不力所致。建议卫生政策制定者采取具体措施，使PHC对社区中有精神健康问题的人更有帮助。
